李健欣

[摘要]目的 探讨一次性包皮环切缝合器手术治疗包茎、包皮过长患者的疗效及安全性分析。方法 选取我院2016年3月～2017年10月治疗的包茎、包皮过长的192例患者作为研究对象，采用随机计数器将其分为A组、B组和C组，每组64例。其中A组行一次性包皮环切缝合器手术治疗，B组行包皮环扎术治疗，C组行传统包皮环切术治疗。比较三组患者的手术时间、术中失血量、术后24 h疼痛视觉模拟量表（VAS）评分、外观满意度及并发症发生情况。结果 A组患者的手术时间短于B、C组，术中失血量少于B、C组、术后24 h VAS评分低于B、C组，外观满意度评分高于B、C组，差异均有统计学意义（P<0.05）。A组的并发症总发生率低于B、C组，差异有统计学意义（P<0.05）。结论 一次性包皮环切缝合器手术应用于包茎、包皮过长患者，临床疗效明确，可缩短手术时间，减少术中失血量，并降低术后疼痛程度，减少并发症发生，安全性较高。

[关键词]一次性包皮环切缝合器手术；包皮环扎术；包茎、包皮过长；传统包皮环切术

[中图分类号] R697 [文献标识码] A [文章编号] 1674-4721（2018）7（a）-0083-03

[Abstract]Objective To investigate the curative effect and safety analysis of disposable circumcision stapler in treating patients with phimosis and redundant prepuce.Methods A total of 192 patients with phimosis and redundant prepuces who were treated in our hospital from March 2016 to October 2017 were selected as the research objects.They were divided into group A，group B and group C， with 64 cases in each group by random counter. Among them，group A was treated with A disposable circumcision stapler， group B was treated with circumcision，and group C was treated with traditional circumcision.The operation time，intraoperative blood loss，VAS scores at 24 h after operation，appearance satisfaction and complications were compared among the three groups.Results The operation time of patients in group A was shorter than that in groups B and C，and the blood loss during operation was less than that in groups B and C，and the VAS scores at 24 h after operation were lower than those in groups B and C，while the scores of appearance satisfaction were higher than those in groups B and C，the difference was statistically significant（P<0.05）.The total incidence of complications in group A was lower than that in groups B and C（P<0.05）.Conclusion One-off circumcision segmenting in the treatment of patients with phimosis and overlong circumcision has significant clinical effect.It can shorten the operation time，reduce the amount of blood loss during the operation，and the degree of postoperative pain and the occurence of complications are reduled，Besides，the safety is high.

[Key words]One-off circumcision segmenting；Circumcision；Phimosis and overlong circumcision；Traditional circumcision

包莖、包皮过长对人体危害极大，可引发上尿路感染、包皮龟头黏膜充血、水肿、糜烂、包皮嵌顿、阴茎炎等，并给女性带来妇科炎症，严重时可造成包皮龟头变性坏死、阴茎癌等，严重影响患者身心健康[1]。包皮环切手术是包茎、包皮过长患者常用经典手术方式，既往通过手术切除多余包皮，并在丝线结扎血管止血后使用可吸收线缝合，术后使用纱布包扎，术后患者存在疼痛、伤口愈合慢及出血。随着人类对外科手术微创及美观要求的不断提高，手术用时长、疼痛及术后瘢痕明显的传统包皮环切手术在临床上的应用逐步受到限制[2]。随着微创技术的不断完善及发展，一次性包皮环切缝合器手术逐渐应运而生，本研究将一次性包皮环切缝合器手术应用包茎、包皮过长患者，观察其治疗的有效性及安全性，现报道如下。……