两种包皮去除环在小儿包皮环切术中的应用体会

摘要

目的 比较两种包皮去除环在小儿包皮环切术中的应用效果.方法 回顾性分析425例患儿行圣环切除(A组),445例患儿行CBV钟式包皮去除环切除(B组)的临床资料;对比两组患儿手术时间、术中术后出血量、术后并发症情况.结果 两组患儿术中及术后出血量无统计学差异(P＞0.05),B组在包皮环脱落时间、术后感染率、术后疼痛情况等方面优于A组(P＜0.05),但其手术时间长于A组(P＜0.05).结论 在小儿包皮去除环中,CBV包皮去除环效果优于圣环,值得临床推广.%Objective To compare curative effects between Holy - loop circumcision and CBV - loop circumcision in children.Methods 870 children with phimosis or redundant prepuce were enrolled in this study.Among them,425 patients received Holy - loop circumcision ( group A ), while other 445 ones received CBV - loop circumcision ( group B ).Operative time, intraoperative and postoperative bleeding volume, and postoperative complications were compared between the two groups.Results Intraoperative and postoperative bleeding volume had no significant differences between group A and B.Group B had shorter shedding time of annulus praeputialis,lighter postoperative pain and lower infection rate of incision than those in group B ( P ＜ 0.05 ), although it had longer operative time ( P ＜ 0.05 ).Conclusion CBV - loop appears to have better effectiveness than Holy - loop on child circumcision.Therefore, it is worth clinical promotion.