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目的比较内置外翻法商环包皮环切术结合改良式换药法与外置法商环包皮环切术的疗效和手术并发症。方法分析2012年7月至2013年7月300例患者行内置外翻法包皮环切术并采用改良式换药法定期换药与300例患者外置商环法包皮环切并采用外涂碘伏愈合的治疗情况。比较手术时间、手术出血量,术后出血、切口延期愈合、水肿、切口裂开、包皮外口狭窄、伤口愈合疼痛、感染等并发症及术后脱痂时间。结果内置外翻商环环切法与外置商环环切法比较,二者在手术时间、手术出血量方面无明显差异。内置外翻法组中除1例糖尿病患者由于血糖控制不佳出现切口延期愈合外,术后出血、裂开、水肿、感染、疼痛、切口延期愈合等总并发症发生率少,术后脱痂期平均天数短(P<0.05)。结论内置外翻法结合术后改良式换药法具有操作简单、术后愈合快速,术后并发症少、术后外观满意度高等优点,值得临床推广应用。
Objective To compare the curative effect and surgical complications of the circumcision circumcision with the modified circumflex circumcision and the circumcision circumcision. METHODS: From July 2012 to July 2013, 300 patients underwent circumcision with a circumflex-turn method and a regular dressing change with modified dressing-changing method and circumscribed circumcision of 300 patients with an external commercial circle method with external application of iodine V healing treatment. The operative time, bleeding volume, postoperative bleeding, delayed incision healing, edema, wound incision, sphincterotomy stenosis, wound healing pain and infection were compared. Results The results showed that there was no significant difference in the operation time and the amount of surgical bleeding between the two methods. Internal eversion group in addition to a case of diabetic patients due to poor blood glucose control incision delayed healing, postoperative bleeding, dehiscence, edema, infection, pain, incision delayed healing and other complications less incidence of postoperative eschar The average number of days was shorter (P <0.05). Conclusion Built-eversion method combined with postoperative modified dressing method has the advantages of simple operation, rapid postoperative healing, less postoperative complications and high postoperative appearance satisfaction, which is worthy of clinical application.