包皮环套术与包皮环切术的临床疗效对比

摘要

目的 比较包皮环套术与包皮环切术的临床疗效.方法 门诊对587例包皮过长及包茎患者,按门诊单双日随机分组,分别行包皮环套术352例(A组)和传统包皮环切术组235例(B组),对比分析两组的手术时间、术中及术后出血量、术后并发症等情况.结果 平均手术时间:A组(6.23±0.21)min,B组(31.41±3.52)min;术中出血量:A组(1.2±0.31)ml,B组(10.72±2.14)ml;术后出血:A组0例,B组4例;术后感染:A组6例,B组8例.两种术式的手术时间、术中出血量差异有统计学意义(P＜0.01),其他指标差异无统计学意义(P＞0.05).结论 包皮环套术治疗包皮过长及包茎操作简单、出血少,花费少,受术者易于接受,值得推广.%Objective To compare the clinical curative effects between plastibell circumcision and circumcision. Methods A total of 587 patients,including 507 with redundant prepuce and 80 with phimosis, were randomly assigned to receive the plastibell circumcision (group A,n ＝352) and conventional surgical procedures(group B,n =235). Comparisons were made between the two groups in terms of the operative time,intraoperative and postoperative blood loss,and the postoperative complications. Results The average operative time: (6.23 ±0.21 )min for group A and (31.41 ± 3.52 )ml for group B. These two parameters were statistically significant differences the two parameters ( P ＜ 0.01 ), but not in postoperative blood less and other complacations. Conclusion Plastibell circumcision is simple and convenient with shorter operative time, less blood loss, lower expenses and acceptance of the patients. Thus ,it is worthy of clinical practice.