商环与器械法成人男性包皮环切术的随机对照有效性研究：乌干达西南部研究。
Shang Ring versus forceps-guided adult male circumcision: a randomized, controlled effectiveness study in southwestern Uganda.
机构信息
*Department of Surgery, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda; †Good Shepherd Hospital, Siteki, Swaziland; ‡North West Deanery, Manchester, UK; §Mbarara Regional Referral Hospital, Mbarara, Uganda; and ‖Massachusetts General Hospital Center for Global Health, Harvard Medical School, Boston, MA.
出版信息
J Acquir Immune Defic Syndr. 2013 Oct 1;64(2):130-3. doi: 10.1097/QAI.0b013e3182965d67.
Abstract
Adult male circumcision (AMC) reduces HIV transmission, but uptake is limited in part by current surgical methods. We randomized HIV-uninfected men (n = 138) to receive Shang Ring (SR)- or forceps-guided AMC from a locally trained surgeon. In as-treated analyses, more SR procedures were completed within 10 minutes (79% versus 0%, P < 0.01) and more subjects reported high satisfaction (77% versus 58%, P = 0.03). Healing time and pain scores were similar, though minor complication rates were higher in SR subjects (56% versus 24%, P < 0.01). SR circumcision is a rapid and acceptable method of AMC and should be further evaluated to increase uptake of AMC.
摘要
成人男性环切术（AMC）可降低 HIV 传播风险，但由于目前的手术方法，其接受程度有限。我们将未感染 HIV 的男性（n=138）随机分配接受 Shang Ring（SR）或钳子引导的 AMC，由当地培训的外科医生进行操作。在实际治疗分析中，更多的 SR 手术在 10 分钟内完成（79%比 0%，P<0.01），更多的受试者报告高度满意（77%比 58%，P=0.03）。愈合时间和疼痛评分相似，但 SR 组的轻微并发症发生率较高（56%比 24%，P<0.01）。SR 环切术是一种快速且可接受的 AMC 方法，应该进一步评估以增加 AMC 的接受程度。
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