Mousavi Seyed Abdollah, Salehifar Ebrahim
Department of Pediatric Surgery, Mazandaran University of Medical Sciences, Sari 48157 33971, Iran.
Adv Urol. 2008;2008:606123. doi: 10.1155/2008/606123. Epub 2008 Nov 4.
Conventional dissection surgery (CDS) or using the Plastibell device (PD) is the method most frequently employed for circumcision. The aim of this study was to evaluate two methods in terms of the incidence of complications in infants of ages up to 12 months. In a prospective study, 586 infants equal to or less than 12 months were studied from 2002 to 2008, and complications between the two groups were assessed. The overall rates of complications in CDS and PD groups were 1.95% and 7.08%, respectively. In each group, the rate of complications was not different among children who had a normal weight, compared to those of a lower or upper (10%) weight. There was a significant positive correlation between the age and weight of subjects within the time of ring separation (P < .001). The results of this study suggest the PD method for neonates and low-weight infants with thin prepuce and the CDS for other infants.
传统解剖手术（CDS）或使用包皮环装置（PD）是最常用于包皮环切术的方法。本研究的目的是评估这两种方法在12个月以下婴儿中的并发症发生率。在一项前瞻性研究中，对2002年至2008年期间586名12个月及以下的婴儿进行了研究，并评估了两组之间的并发症情况。CDS组和PD组的总体并发症发生率分别为1.95%和7.08%。在每组中，体重正常的儿童与体重较低或较高（上下浮动10%）的儿童相比，并发症发生率没有差异。在环分离时，受试者的年龄与体重之间存在显著正相关（P < 0.001）。本研究结果表明，对于新生儿和包皮薄的低体重婴儿，推荐使用PD方法；对于其他婴儿，推荐使用CDS方法。
