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包皮环切缝合器在包皮过长矫治术中的临床应用(1)
http://www.100md.com 2018年6月15日 《中国美容医学》 2018年第12期
     [摘要]目的:探讨包皮环切缝合器在包皮过长矫正术中的应用效果。方法:选取2016年5月-2017年5月笔者医院收治的包皮过长患者120例,随机分为两组,对照组应用传统包皮环切手术进行治疗,研究组应用包皮环切缝合器行包皮环切术,观察比较两组患者的手术状况、患者美观满意度和生活质量。结果:研究组手术时间、下床活动时间、住院天数及术中出血量均少于对照组,差异有统计学意义(P<0.05)。治疗后,两组生活质量各项评分均优于治疗前,且研究组均优于对照组,差异有统计学意义(P<0.05)。研究组患者美观满意度80.0%明显高于对照组的50.0%,差異有统计学意义(P<0.05)。结论:包皮过长患者的治疗过程中,应用包皮环切缝合器进行手术治疗效果理想,手术切口美观,患者生活质量提高,建议临床上推广应用。

    [关键词]包皮环切缝合器;包皮过长;包皮环切术;美观;疗效

    [中图分类号]R622 R697+.1 [文献标志码]A [文章编号]1008-6455(2018)12-0044-03
, 百拇医药
    Clinical Application of Circumcision Stapler in the Treatment of Redundant Prepuce

    ZHANG Yin-gang1,LIU Wen2

    (1.Department of Urology Surgery;2.Department of Endocrinology, Tianmen First People's Hospital,Tianmen 431700,Hubei,China)

    Abstract: Objective To investigate the application effect of circumcision stapler in the correction of redundant prepuce. Methods 120 cases of redundant prepuce in our hospital from May 2016 to May 2017 were randomly divided into the two groups. The control group was treated with traditional circumcision and the study group used circumcision stapler for circumcision. The operation status, satisfaction and quality of life of the two groups were observed and compared. Results The operation time, the time of getting out of bed, the days of hospitalization and the amount of intraoperative bleeding in the study group were less than those in the control group, and the differences were statistically significant(P<0.05). After treatment, the scores of quality of life in the two groups were better than those before treatment, and the study group was better than the control group(P<0.05). The satisfaction degree of the patients in the study group was 80.0%, which was significantly higher than that in the control group(50.0%,P<0.05). Conclusion In the treatment of patients with redundant prepuce, circumcision stapler is an ideal surgical treatment, the surgical incision is beautiful, the quality of life of patients improved, it is recommended to promote the clinical application.
, 百拇医药
    Key words: circumcision stapler; redundant prepuce; circumcision; beauty; curative effect

    包皮过长是指成年男性多发的一类由于龟头被阴茎皮肤包裹导致龟头无法完全外露的一种疾病。相关研究资料显示,患者患有包皮过长极易导致尿道外口狭窄以及泌尿道感染等一系列疾病,包皮过长严重的患者可能引发阴茎癌等不良后果[1]。该疾病的治疗主要是应用传统的包皮环切术进行治疗,但是该手术治疗方式存在着明显不足。手术效果尚且令人满意,但是手术耗时较长,同时拆线容易造成患者疼痛,极易引发伤口感染。根据这一情况,相关研究人员提出应用包皮环切缝合器进行手术,效果良好。笔者医院在包皮过长患者的治疗过程中,应用包皮环切缝合器进行手术治疗,取得满意效果,现报道如下。

    1 资料和方法

    1.1 一般资料:选取2016年5月-2017年5月笔者医院收治的包皮过长患者120例,均为男性,所有患者均符合《中国泌尿外科疾病诊断治疗指南》,随机分成两组。对照组年龄20~45岁,平均年龄(37.5±1.2)岁;研究组年龄22~26岁,平均年龄(38.6±1.4)岁。两组患者一般资料比较,差异无统计学意义,有可比性(P>0.05)。所有患者均知情同意本研究,并经过医院伦理委员会批准。, 百拇医药(章尹岗 刘文)
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