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一次性包皮环切缝合器在儿童中的临床疗效:一项前瞻性随机对照试验

[Clinical effectiveness of disposable circumcision suture in children: a prospective randomized controlled trial].

作者信息

Xia Hui, Wu Hehua, Xue Kangyi, Yang Cheng, Yang Jiankun

机构信息

Department of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2018 Jul 30;38(7):884-887. doi: 10.3969/j.issn.1673-4254.2018.07.19.

Abstract

OBJECTIVE

To assess the clinical efficacy of disposable circumcision suture device (DCSD) in children receiving circumcision.

METHODS

Children with phimosis and redundant prepuce undergoing circumcision in our hospital were prospectively enrolled in this study hospital and randomized into DCSD group and conventional circumcision (CC) group. A total of 236 boys were enrolled, including 132 in DCSD group and 104 in CC group. The use of local anesthesia, operation time, intraoperative blood loss, intraoperative and postoperative pain scores, penile appearance satisfaction rates, postoperative complications, healing time of the incision, and the overall satisfaction rate were compared between the two groups.

RESULTS

Compared with CC group, DCSD group had a significantly higher proportion of local anesthesia ( < 0.01), shorter operative time ( < 0.001), less intraoperative blood loss ( < 0.001), lower intraoperative and postoperative pain scores ( < 0.001), higher penile appearance satisfaction rates (=0.03), less postoperative complications (=0.04), shorter healing time ( < 0.001), and a higher overall satisfaction rate ( < 0.005).

CONCLUSIONS

The use of DCSD can shorten the operative time and is associated with good tolerance of local anesthesia, less pain, quick recovery, and higher penile appearance satisfaction rates in children receiving circumcision.

摘要

目的

评估一次性包皮环切缝合器(DCSD)在儿童包皮环切术中的临床疗效。

方法

前瞻性纳入我院行包皮环切术的包茎及包皮过长患儿,随机分为DCSD组和传统包皮环切术(CC)组。共纳入236例男孩,其中DCSD组132例,CC组104例。比较两组局部麻醉的使用情况、手术时间、术中出血量、术中和术后疼痛评分、阴茎外观满意度、术后并发症、切口愈合时间及总体满意度。

结果

与CC组相比,DCSD组局部麻醉比例显著更高(<0.01),手术时间更短(<0.001),术中出血量更少(<0.001),术中和术后疼痛评分更低(<0.001),阴茎外观满意度更高(=0.03),术后并发症更少(=0.04),愈合时间更短(<0.001),总体满意度更高(<0.005)。

结论

使用DCSD可缩短手术时间,且在接受包皮环切术的儿童中具有局部麻醉耐受性好、疼痛轻、恢复快及阴茎外观满意度高等优点。

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