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目的通过商环包皮环切术的标准化来降低因包皮手术引起的并发症发生率,以进一步提高包皮环切手术的质量。方法采用商环包皮环切术标准化方案对206例患者进行手术,对手术时间、术中与术后24h疼痛评分(视觉模拟评分法,VAS)、术后并发症、包皮创口愈合时间、术后外观情况进行观察和随访。结果手术时间为(4.21±1.14)min;术中与术后24h患者疼痛评分(VAS)分别为(0.60±0.21)分与(1.60±0.74)分;并发症发生率为术后感染0.97%(2/206)、术后包皮环滑脱并出血0.49%(1/206)、伤口裂开0.49%(1/206)和包皮水肿5.82%(12/206)。术后包皮创口完全愈合时间为(18±4)d。患者对术后包皮外观满意率为98.5%(203/206)。结论商环包皮环切术手术简单、快速、易于标准化,术中疼痛轻、术后并发症少、包皮切口整齐美观,患者满意度高,可以普遍推广。
Objective To standardize commercial circumcision to reduce the incidence of complications caused by circumcision to further improve the quality of circumcision. Methods A total of 206 patients undergoing surgery were enrolled in this study. The operation time, intraoperative and postoperative 24h pain scores (visual analogue scale, VAS), postoperative complications, wound healing time, Appearance of the situation for observation and follow-up. Results The operation time was (4.21 ± 1.14) min. The pain score (VAS) was (0.60 ± 0.21) points and (1.60 ± 0.74) points respectively during and after operation. The incidence of complications was 0.97% 2/206), postoperative circumcision and bleed 0.49% (1/206), wound split 0.49% (1/206) and foreskin edema 5.82% (12/206). The complete healing time of foreskin wound was (18 ± 4) days. The satisfaction rate of postoperative foreskin was 98.5% (203/206). Conclusion Surgical circumcision is simple, rapid and easy to standardize. It has the advantages of less pain during operation, less postoperative complications, neat and beautiful foreskin incision, high patient satisfaction and universal promotion.