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目的:探讨长效抗菌材料联合磺胺嘧啶银脂质水胶(SSD)敷料在包皮吻合环环切术后的临床应用价值。方法:选择2015年2月至2016年3月广东省第二中医院收治的包皮过长或包茎者80例,按照随机数字法分为两组,各40例,所有入组者均行一次性包皮环切吻合器组治疗,对照组使用无菌长效抗菌材料进行覆盖包扎,观察组术后联合使用优拓SSD敷料。结果:观察组手术时间短于对照组,术中出血少于对照组,切口愈合时间早于对照组,观察组出现术后感染、出血、水肿及疼痛的总比例显著低于对照组,观察组性欲增强及勃起功能增强比例高于对照组,差异均具有统计学意义(P<0.05);两组术前国际通用勃起功能指数(IIEF-5)评分比较,差异均无统计学意义(P>0.05),干预后3个月,观察组IIEF-5评分高于对照组,差异具有统计学意义(P<0.05)。结论:针对使用包皮吻合环环切术后患者行长效抗菌材料联合SSD敷料覆盖,可有效缩短手术时间,减少出血及手术并发症,提高患者术后性功能。
Objective: To investigate the clinical value of long-acting antimicrobial material combined with sulfadiazine silver lipid hydrogel (SSD) dressing in the circumcision of foreskin anastomosis. Methods: 80 cases of prepuce or phimosis admitted from the Second Hospital of Guangdong Province from February 2015 to March 2016 were divided into two groups according to the random number method, 40 cases in each group, all of whom underwent one-off The circumcision stapler group was treated. The control group was covered with sterile long-lasting antibacterial material, and the observation group was treated with Utopot SSD dressing. Results: The operation time of the observation group was shorter than that of the control group. The bleeding during operation was less than that of the control group. The incision healing time was earlier than that of the control group. The total proportion of postoperative infection, bleeding, edema and pain in the observation group was significantly lower than that of the control group and observation group (P <0.05). There was no significant difference in IIEF-5 preoperative scores between the two groups (P> 0.05). There was no significant difference between the two groups in the preoperative IIEF-5 scores (P> 0.05). At 3 months after intervention, the score of IIEF-5 in the observation group was higher than that in the control group, with statistical significance (P <0.05). Conclusion: The long-acting antimicrobial material combined with SSD dressing for circumcision circumcision patients can effectively shorten the operation time, reduce the complications of bleeding and surgery and improve the postoperative sexual function.