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目的:观察改良型一次性包皮切割缝合器的临床应用效果。方法:220例包皮过长患者,其中112例采用改良型一次性包皮切割缝合器进行手术(改良组),108例采用改良前一次性包皮切割缝合器进行手术(传统组)。对比两组手术时间,术中出血量,补缝率,20d内脱钉率,术后并发症情况。结果:改良组患者术后出血量为(1.15±0.62)m L,补缝率为0.89%,20d内脱钉率为99.11%,术后并发症发生率为30.36%,传统组患者术后出血量为(3.21±1.62)m L,补缝率为8.33%,20d内脱钉率和术后并发症发生率为89.81%和38.88%。两组比较均有显著性差异(P<0.05),手术时间两组无显著性差异(P>0.05)。结论:采用改良型一次性包皮环切缝合器手术可明显降低术中出血和术后并发症及增加脱钉率,值得推广。
Objective: To observe the clinical effect of modified one-off circumcision and suturing device. Methods: One hundred and twenty cases of prepuce circumcision were enrolled. Among them, 112 cases were treated with a modified disposable foreskin incision and suturing device (modified group) and 108 cases were treated with a modified anterior foreskin suture stapler (traditional group). The operation time, intraoperative blood loss, filling rate, the rate of nail removal within 20 days and postoperative complications were compared between the two groups. Results: The postoperative bleeding volume in the improved group was (1.15 ± 0.62) m L, the capping rate was 0.89%, the rate of nail removal was 99.11% within 20 days and the postoperative complication rate was 30.36%. The postoperative bleeding in the traditional group The volume was (3.21 ± 1.62) m L, the filling rate was 8.33%. The rate of nail removal and postoperative complications within 20 days was 89.81% and 38.88% respectively. There was significant difference between the two groups (P <0.05), there was no significant difference between the two groups in operation time (P> 0.05). Conclusion: The improved disposable circumcision suture operation can significantly reduce intraoperative bleeding and postoperative complications and increase the rate of nail removal, which is worth promoting.