成年男性中国商环包皮环切术与传统包皮环切术的临床比较

摘要

Objective To compare the effects of Chinese Shang Ring circumcision versus traditional circumcision for adult male with redundant prepuce.Methods One hundred and ninety-eight patients with redundant prepuce were randomly divided into two groups. One hundred cases in the Shang Ring group received Chinese Shang Ring circumcision,while 98 cases in the traditional group received tradtioal circumcision.The operation duration,intraoperative blood loss,healing time,visual analogue scale(VAS) score,postoperative complications (exudation,dehiscence and edema),appearance satisfaction and life influence were observed in two groups.Results Compared with traditional group,Shang Ring group achieved shorter operation duration,less intraoperative blood loss,lower VAS score and higher appearance satisfaction rate(P <0.05) as well as longer healing time and higher incidences of postoperative edema,exudation and dehiscence(P <0.05). Conclusion Chinese Shang Ring circumcision has favorable effects with the advantages of simple operation,shorter operation duration, less blood loss and better postoperative appearance.However,it presents the high incidences of postoperative edema,exudation and wound dehiscence as well as long healing time.%目的：对比中国商环包皮环切术与传统包皮环切术治疗成年男性包皮过长的效果。方法包皮过长198例，随机分成商环组100例，传统组98例，分别施行中国商环包皮环切术及传统包皮环切术，观察两组手术时间、术中出血量、愈合时间、疼痛评分（VAS 评分）、术后并发症（渗出、裂开、水肿）、外观满意度、手术对患者工作生活影响等。结果与传统组比较，商环组手术时间短、术中出血量较少、VAS 评分低、术后美观及患者满意度高（P ＜0．05），但术后水肿、渗出、伤口裂开发生率高，并且愈合时间长（P ＜0．05）。结论中国商环包皮环切术效果好，具有操作简单、手术时间短、出血量少、术后美观等优点，但术后水肿、渗出、伤口裂开发生率高，愈合时间长。