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目的:探讨一次性包皮环切缝合器与吻合器治疗包皮过长和包茎的治疗效果。方法:将2013年2月至2015年10月就诊我院的包茎和包皮过长患者,按手术方法分为一次性包皮环切缝合器组与吻合器组,对比一次性包皮环切缝合器与吻合器治疗包茎与包皮过长的疗效,并对两组临床资料进行对比。结果:两组患者手术时疼痛评分无明显差异(P均>0.05);手术时间、术中出血、术后疼痛评分、手术并发症、伤口愈合时间、术后包皮外观满意度及治疗费用的差异有统计学意义;包皮环切缝合器治疗包茎与包皮过长手术在术后疼痛评分、手术并发症、伤口愈合、术后外观满意度方面优于吻合器,而包皮吻合器在手术时间、手术中出血、手术费用方面优于缝合器(P均<0.05)。结论:包皮环切缝合器治疗包茎与包皮过长手术在术后疼痛评分、手术并发症、伤口愈合、术后外观满意度方面优于吻合器,而包皮吻合器在手术时间、手术中出血、手术费用方面优于缝合器。术前可依据患者的需要及经济条件等充分的解释并选择个性化的手术方式。
Objective: To investigate the effect of one-off circumcision and stapler on the treatment of redundant foreskin and phimosis. Methods: The patients with phimosis and prepuce who visited our hospital from February 2013 to October 2015 were divided into one-time circumcision stapler group and stapler group according to the operation method, and compared with one-off circumcision stapler and Stapler treatment of phimosis and prepuce effect, and the two groups of clinical data were compared. Results: There was no significant difference in the pain score between the two groups (P> 0.05). The difference of operative time, intraoperative bleeding, postoperative pain score, operative complications, wound healing time, satisfactory degree of postoperative foreskin appearance and treatment cost There was statistical significance; circumcision suture phimosis and foreskin surgery in postoperative pain score, complications, wound healing, postoperative appearance satisfaction is better than the stapler, foreskin stapler in the operation time, surgery In bleeding, surgical cost is better than the stapler (P <0.05). CONCLUSION: The circumcision suture is superior to the stapler in the treatment of phimosis and prepuce because of the postoperative pain score, operative complications, wound healing and postoperative appearance satisfaction. However, the foreskin stapler has the advantages in operation time, bleeding during operation, Surgery costs better than the stapler. Preoperative can be based on the needs of patients and economic conditions, such as adequate explanation and choose a personalized surgical approach.