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儿童商环包皮环切术两种术式疗效比较

Clinical comparison of two methods of circumcision with Shang ring in children with phimosis
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摘要 目的比较商环包皮环切术的内置与外置两种术式治疗儿童包茎的临床疗效。方法将204例3~14岁包茎患儿随机分为内置术式组(104例)和外置术式组(100例),分别行内置商环包皮环切术和外置商环包皮环切术,从手术时间、切口愈合时间、术后并发症、外观满意度等方面进行比较。结果内置术式组的平均手术时间(7.26±1.58)min,平均切口愈合时间(19.4±3.8)d,并发症发生率2.9%,外观满意度97.1%;外置术式组分别为(9.74±1.87)min、(19.8±4.1)d、9.0%、90.0%。除切口愈合时间外,其他三项指标差异均有统计学意义。结论儿童商环包皮环切术的内置术式具有手术时间短、术后并发症少、外观满意度高等优点,明显优于外置术式。 Objective To compare the clinical efficacy of the method of inner ring inside and the method of inner ring outside on circumcision with Shang ring in children with phimosis. Methods A total of 204 children with phimosis were randomly divided into the inner ring inside group( n = 104 ) and the inner ring outside group (n = 100). The inner ring inside group received circumcision with Shang ring' s inner ring inside placed, whereas the inner ring outside group received circumcision with Shang ring' s inner ring outside placed. The operation duration, time for wound healing, rate of postoperative complications and rate of satisfaction with postoperative appearance were compared between the two groups. Results The operation duration, time for wound healing, rate of postoperative complications, rate of satisfaction with postoperative appearance were (7.26 ±1.58 )min, (19.4 ± 3.8 )days, 2.9% and 97. 1%, respectively, in the inner ring inside group, as compared with(9.74 ± 1.87) min, ( 19. 8 ±4. 1 ) days, 9. 0% and 90. 0% in the inner ring outside group. There were significant difference between the two groups in operation duration, rate of postoperative complications and rate of satisfaction with postoperative appearance, except for time for wound healing. Conclusions In comparison with the method of inner ring outside of circumcision with Shang ring in children, the method of inner ring inside has the advantages of shorter operation time, fewer postoperative complication, higher rate of satisfaction with the postoperative appearance.
出处 《中国实用医刊》 2016年第12期1-4,共4页 Chinese Journal of Practical Medicine
关键词 商环 包茎 包皮环切术 内置 外置 Shang ring Phimosis Circumcision Inner ring inside Inner ring outside
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