Wang Haitao, Chen Ningjie, Huo Ran, Yang Jincun, Li Xia, Xing Nan
Department of Burn and Plastic Surgery, Shandong Provincial Hospital, Shandong University, Jinan, Shandong 250021, P.R. China.
Department of Burn and Plastic Surgery, Weihai Municipal Hospital, Dalian Medical University, Weihai, Shandong 264200, P.R. China.
Exp Ther Med. 2017 Jul;14(1):298-302. doi: 10.3892/etm.2017.4453. Epub 2017 May 11.
The present study aimed to investigate the clinical curative effect of disposable stitching instrument operation in patients with redundant prepuce or phimosis. A total of 102 cases of patients with circumcision were randomly selected (from June 2013 to December 2014) from the department of plastic and aesthetic surgery of our hospital and were randomly divided into control and observation groups (n=51). Patients in the control group were treated by traditional circumcision operation, while patients in the observation group were treated by novel disposable circumcision stitching instrument. Operation time, bleeding volume, incision healing time, postoperative complications and incision aesthetic satisfaction in the groups were observed. As a result, intraoperative bleeding volume of patients in the observation group was significantly less in comparison to the control group. Operation time and incision healing time of patients in the observation group was shorter than that of the control group. Additionally, the incidence of postoperative complications of patients in the observation group was noted to be lower than that of the control group. On the other hand, the incision aesthetic satisfaction of patients in the observation group was higher than that of the control group. Blood vessel counting and nerve fiber counting of tissue specimen in the observation group were more than those of the control group. Postoperative VAS scores of patients in the observation group were significantly lower than that of the control group. Each rating scale scores of EPQ of patients in the observation group improved significantly compared with that of the control group. In conclusion, the present findings show that disposable circumcision stitching instrument operation is more advantageous in comparison to the traditional procedure along with minimal compilations and better post surgery health condition of patients.
本研究旨在探讨一次性缝合器械手术治疗包皮过长或包茎患者的临床疗效。从我院整形美容外科随机选取102例行包皮环切术的患者（2013年6月至2014年12月），随机分为对照组和观察组（n = 51）。对照组患者采用传统包皮环切术治疗，观察组患者采用新型一次性包皮环切缝合器械治疗。观察两组患者的手术时间、出血量、切口愈合时间、术后并发症及切口美观满意度。结果显示，观察组患者术中出血量明显少于对照组。观察组患者的手术时间和切口愈合时间短于对照组。此外，观察组患者术后并发症的发生率低于对照组。另一方面，观察组患者的切口美观满意度高于对照组。观察组组织标本的血管计数和神经纤维计数多于对照组。观察组患者术后视觉模拟评分（VAS）明显低于对照组。观察组患者艾森克人格问卷（EPQ）各量表得分与对照组相比有显著改善。综上所述，本研究结果表明，一次性包皮环切缝合器械手术相较于传统手术更具优势，并发症少，患者术后健康状况更佳。
