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目的观察中国商环在包皮环切术的应用效果。方法 1 100例包皮患者均采用中国商环行包皮环切术。观察手术时间、术后出血、术后切口水肿、裂开、疼痛评分及切口愈合时间。结果 1 100例患者中顺利完成包皮环切术1 085例。手术时间为(5.0±1.0)min;出血量均少于5 ml;术后轻度水肿868例,中度水肿196例,重度水肿21例。术后无裂开213例,轻度裂开658例,中度裂开167例,重度裂开47例。术后24 h疼痛评分为(3.1±1.8)分,拆环时为(7.8±1.9)分;折环时疼痛评分明显大于术后24 h评分(P<0.05);愈合时间为(25.6±4.8)d。结论中国商环包皮环切术操作简单、手术时间短、出血少,但拆环时疼痛明显,术后切口水肿、裂开发生率高,切口愈合时间较长。
Objective To observe the effect of Chinese commercial ring in circumcision. Method 1 100 cases of foreskin were used in China Surgical Circumcision. The operation time, postoperative bleeding, postoperative incision edema, dehiscence, pain score and incision healing time were observed. Results 1 085 cases of circumcision were successfully completed in 1 100 cases. The operation time was (5.0 ± 1.0) min. The bleeding amount was less than 5 ml. There were 868 mild edema, 196 moderate edema and 21 severe edema. There were 213 cases without rupture, 658 cases with mild rupture, 167 cases with moderate rupture, and 47 cases with severe rupture. The pain score at 24 h after operation was (3.1 ± 1.8) minutes and (7.8 ± 1.9) minutes after the removal of the ring. The pain score at the time of ring closure was significantly higher than that at 24 hours after operation (P <0.05), and the healing time was (25.6 ± 4.8) d. CONCLUSIONS: Commercial ring circumcision is simple in operation, short in operation time and less in bleeding. However, the pain in removing the ring is obvious. Incision edema and split open rate are high, and incision healing time is longer.