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目的比较圣环包皮环切术、袖套状包皮环切术及传统包皮环切术治疗包皮过长及包茎的临床疗效。方法对298例包皮过长及包茎患者分别行传统包皮环切术(剪刀法)86例(传统组)、袖套状包皮环切术82例(袖套组)、圣环包皮环切术130例(圣环组)。对比分析3组手术时间、术中出血量、术后疼痛持续时间、术后并发症、患者手术前后国际勃起功能评分-5(international index of erectile function,IIEF-5)和勃起功能障碍患者及性伴侣治疗满意度(treatment satisfaction scale,TSS)评分。结果传统组术后疼痛时间[(47.62±13.05)h]显著大于其他2组,术后切口感染率(6.9%)、血肿发生率(15.1%)和包皮畸形发生率(8.1%)显著高于其他2组(P<0.05),术后IIEF-5评分显著降低(P<0.05)而TSS评分无显著变化(P>0.05);袖套组手术时间[(44.21±10.55)min]和术中出血量[(11.02±2.44)ml]显著高于其他2组(P<0.05),术后TSS评分显著提高(P<0.05)而IIEF-5评分无显著变化(P>0.05);圣环组手术时间[(4.37±1.33)min]和术中出血量[(0.79±0.20)ml]显著低于其他2组(P<0.05)、术后阴茎水肿发生率(44.6%)显著高于其他2组(P<0.05),手术后TSS评分显著提高(P<0.05)而IIEF-5评分无显著变化(P>0.05)。结论圣环包皮术操作简单、快捷、安全,较传统术式和袖套状术式临床疗效佳。
Objective To compare the clinical effects of circumcision, cuff circumcision and traditional circumcision in the treatment of the redundant foreskin and phimosis. Methods Totally 298 cases of prepuce and phimosis patients underwent conventional circumcision (scissors method), 86 cases (traditional group), 82 cases of cuff circumcision (cuff group), 130 cases of circumcision Example (Holy Ring Group). The operative time, intraoperative blood loss, postoperative pain duration, postoperative complications, international index of erectile function (IIEF-5) and erectile dysfunction patients Companion treatment satisfaction (treatment satisfaction scale, TSS) score. Results The time of postoperative pain in the traditional group [(47.62 ± 13.05) h] was significantly higher than that in the other two groups (6.9%), the incidence of hematoma (15.1%) and the incidence of foreskin deformity (8.1%) The other two groups (P <0.05), the postoperative IIEF-5 score decreased significantly (P <0.05) and the TSS score had no significant change (P0.05); the cuff operation time [(44.21 ± 10.55) min] (11.02 ± 2.44) ml] was significantly higher than those in the other two groups (P <0.05). The postoperative TSS score was significantly increased (P <0.05) and the IIEF-5 score was no significant change (P> 0.05) The operative time (4.37 ± 1.33) min and intraoperative blood loss (0.79 ± 0.20) ml were significantly lower than those in the other two groups (P <0.05). The incidence of postoperative penile edema (44.6%) was significantly higher than that of the other two groups (P <0.05). TSS score increased significantly after operation (P <0.05) and IIEF-5 score had no significant change (P> 0.05). Conclusions Sanhuan circumcision operation is simple, quick and safe, which is more effective than the traditional operation and cuff surgery.