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目的:探讨皮肤创面诱导凝胶对小儿包茎术后阴茎头结痂率、刀口甲级愈合率及愈合时间的影响。方法:选取行包皮环切术的小儿包茎患者48例,年龄均在6~13岁,随机分为两组,试验组25例,术后应用皮肤创面诱导凝胶涂抹于阴茎头及刀口缝合处,对照组23例,术后应用常规的碘伏棉球消毒,观察并比较两组患者阴茎头结痂率、刀口甲级愈合率、愈合时间。结果:试验组阴茎头结痂3例,对照组17例,差异有统计学意义(12.0%vs 73.9%,P<0.01)。两组患儿的刀口甲级愈合率无明显差异。试验组愈合时间较对照组短,差异有统计学意义[(10.7±1.7)d vs(11.9±2.1)d,P<0.05]。结论:小儿包茎术后常规应用皮肤创面诱导凝胶进行术区护理,能有效减少阴茎头分泌物、减轻刀口炎症反应及缩短愈合时间,有较好的临床应用价值。
OBJECTIVE: To investigate the effect of skin wound-induced gel on the rate of scab in the penis, the healing rate and the healing time of the knife-edge after phimosis. Methods: Forty-eight cases of pediatric phimosis patients undergoing circumcision were randomly divided into two groups. The experimental group consisted of 25 cases. After the operation, skin wounds were used to induce gel smear on the head of the penis and the incision , Control group of 23 cases, postoperative use of conventional iodine cotton ball disinfection, observation and comparison of the two groups of patients with scalp head rate, knife-edge healing rate, healing time. Results: There were 3 cases of scab in penis head and 17 cases in control group, the difference was statistically significant (12.0% vs 73.9%, P <0.01). There was no significant difference between the two groups in the rate of knife-edge healing. The healing time of the experimental group was shorter than that of the control group, with a significant difference ([10.7 ± 1.7] d vs (11.9 ± 2.1) d, P <0.05]. CONCLUSION: After routine phimosis in children with phimosis, it is effective to reduce the penis head secretion, reduce the inflammatory reaction and shorten the healing time of the penis, which has a good clinical value.