沙特阿拉伯一项关于Gomco与Plastibell用于新生儿包皮环切术的对照试验。
A controlled trial of Gomco versus Plastibell for neonatal circumcisions in Saudi Arabia.
作者信息
Bawazir Osama A
机构信息
Department of Surgery Faculty of Medicine in Umm Al-Qura University Faculty of Medicine, KSA, P.O.box 715, Makkah, 21955, Saudi Arabia.
出版信息
Int J Pediatr Adolesc Med. 2020 Sep;7(3):132-135. doi: 10.1016/j.ijpam.2019.03.002. Epub 2019 Mar 21.
BACKGROUND
Gomco or Plastibell devices are the most widely used method for circumcision. The present work was aimed to assess the incidence of complications in infants of ages up to six months in two used methods.
METHODS
It was a prospective randomized study conducted at a pediatric surgery clinic in 3 hospitals in Jeddah, Saudi Arabia. Eight hundred and five children, their ages were less than 6 months were enrolled for the present work. Children were randomized into two groups: Groups P and G using Plastibell and Gomco Circumcision methods, respectively. Statistical analysis of data was performed by using SPSS Version 17. Chi-square test and independent sample -test was applied to compare both qualitative and quantitative variables, respectively. -value was considered as significant difference at <0.05.
RESULTS
Seven hundred eighty three children were were enrolled in this investigation. Plastibell method was concomitant with low volume of bleeding in comparison with Gomco method ( < 0.001). Incidence of complications including infection, penile edema, proximal migration and redundant skin was higher in Plastibell device method (<0.05).
CONCLUSION
Gomco circumcision is the safer method and is accompanied with lowest rate of complication.
背景
Gomco或Plastibell器械是最广泛使用的包皮环切术方法。本研究旨在评估这两种方法在6个月以下婴儿中的并发症发生率。
方法
这是一项在沙特阿拉伯吉达3家医院的儿科外科诊所进行的前瞻性随机研究。805名年龄小于6个月的儿童参与了本研究。儿童被随机分为两组：分别使用Plastibell和Gomco包皮环切术方法的P组和G组。使用SPSS 17版对数据进行统计分析。卡方检验和独立样本检验分别用于比较定性和定量变量。P值<0.05被认为有显著差异。
结果
783名儿童参与了本研究。与Gomco方法相比，Plastibell方法的出血量较少（P<0.001）。Plastibell器械法的并发症发生率包括感染、阴茎水肿、近端移位和包皮过长较高（P<0.05）。
结论
Gomco包皮环切术是更安全的方法，并发症发生率最低。
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