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目的:比较一次性包皮环切吻合器与商环及传统包皮环切术疗效比较。方法:将90例患者随机分为3组,传统包皮环切组、商环组及一次性环切吻合组(DCSD)。评估指标包括手术时间、失血量、术中疼痛评分、术后疼痛评分,术后疼痛持续时间、术后换药次数、术后水肿、切口裂开、术后出血、术后血中、术后再次手术、术后感染、愈合天数、术后瘢痕、术后粘连、阴茎外观满意评分、总体满意评分、费用情况等。结果:商环组及DCSD组术中失血量及手术时间显著低于传统组(P<0.001);DCSD组术中疼痛低于传统组及商环组(P<0.001);传统组术后疼痛高于其他两组(P<0.001);DCSD组及商环组对阴茎外观的满意度高于传统组(P<0.05);总体满意度DCSD组高于商环组及传统组(P<0.05)。结论:使用DCSD可以缩短手术时间及切口愈合时间,减轻术中术后疼痛,降低术后感染、术后瘢痕及术后粘连出现,提高患者对阴茎外观满意度及手术总体满意度。
Objective: To compare the efficacy of one-off circumcision stapler with commercial and traditional circumcision. Methods: 90 patients were randomly divided into 3 groups: conventional circumcision group, commercial circle group and one-time anastomosis group (DCSD). The evaluation indexes included operation time, blood loss, intraoperative pain score, postoperative pain score, postoperative pain duration, postoperative dressing number, postoperative edema, incision rupture, postoperative bleeding, postoperative blood and postoperative Reoperation, postoperative infection, healing days, postoperative scar, postoperative adhesions, penile appearance satisfaction score, overall satisfaction score, cost situation and so on. Results: The intraoperative blood loss and operation time in the commercial ring group and the DCSD group were significantly lower than those in the traditional group (P <0.001). The intraoperative pain in the DCSD group was lower than that in the traditional group and the commercial ring group (P <0.001) (P <0.001). The satisfaction of penis appearance in DCSD group and commercial ring group was higher than that in conventional group (P <0.05). The overall satisfaction in DCSD group was higher than that in commercial ring group and traditional group (P <0.05) ). Conclusion: The use of DCSD can shorten the operation time and wound healing time, reduce intraoperative and postoperative pain, reduce postoperative infection, postoperative scarring and postoperative adhesions appear to improve patient satisfaction with the appearance of the penis and overall satisfaction with the operation.