Objective To compare and analyze the clinical curative effects of Shang Ring and conventional circumcision on redundant prepuce and phimosis. Methods 166 patients with redundant prepuce and phimosis were randomly divided into two groups and received conventional circumcision( conventional group,n = 86 )or Shang Ring circumcison( Shang Ring group,n = 80 ). Comparison and analysis were made in operative time, perioperative blood loss, postoperative pain degree and postoperative complications between the two groups. Results In Shang Ring group,the operative time was( 4.78 ±1. 11 )min;perioperative blood loss was( 1.06 ±0. 23 ) ml;the VAS score of postoperative pain was 1.09 ±0.72,which were all significantly lower than those in the conventional group( P < 0.05 ). Otherwise the incidence of postoperative bleeding,infection,and foreskin malformation in Shang Ring group was lower than that in the conventional group( P < 0.05 ). But the incidence of hydrophallus in Shang Ring group was higher than that in the conventional group( P <0. 05 ). Conclusion Shang Ring circumcision is relatively simple,micro - invasive,safe and has less pain for the patients. Its clinical curative effect is better than that of the conventional circumcision.%目的 对比分析商环包皮环切术与传统包皮环切术治疗包皮过长及包茎的临床疗效.方法 对166例包皮过长及包茎患者随机分组,分别行传统包皮环切术86例(传统组)和商环包皮环切术80例(商环组),对比分析两组的手术时间、术中出血量、术后疼痛程度及术后并发症等情况.结果 商环组手术时间(4.78±1.11)min,术中出血量(1.06±0.23)ml,术后疼痛VAS评分(1.09±0.72)分,均显著低于传统组(P＜0.05);且商环组在术后出血、感染、包皮畸形发生率等方面也低于传统组(P＜0.05),但术后阴茎水肿发生率高于传统组(P＜0.05).结论 商环包皮环切术操作简单、微创、安全,患者痛苦小,较传统包皮环切术临床疗效好.
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