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目的:观察一次性包皮环切缝合器系带识别定位法手术防止术后系带错位的疗效。方法:回顾性分析2015年3月至2016年9月212例一次性包皮环切缝合器手术患者的临床资料,其中行系带识别定位法手术(观察组)103例,常规手术(对照组)109例。观察两组术后系带和阴茎缝的位置,计算系带偏离角度,并比较分析两组系带偏离角度数值。结果:观察组系带偏离角度中位数(四分位数间距)为0(3.56),对照组系带偏离角度的中位数(四分位数间距)为12.41(19.59),观察组系带偏离角度明显小于对照组(P<0.001,P=0.000)。观察组系带偏离率为8.74%(9/103),对照组系带偏离率为66.06%(72/109),观察组系带偏离率明显小于对照组(P<0.01)。结论:一次性包皮环切缝合器系带识别定位法手术能有效防止术后系带错位,且操作简单,有临床推广应用的价值。
OBJECTIVE: To observe the curative effect of one-off circumcision suture lacing device to identify the surgical method to prevent postoperative laceration. Methods: A retrospective analysis of 212 cases of one-off circumcision suture operation in March 2015 to September 2016 was performed. Among them, 103 cases were operated with the LASIK method (observation group) 109 cases. Observe the position of the two groups of postoperative ligaments and penile seams, calculate the angle of deviation of the lacing, and compare the lag angles between the two groups. Results: The median deviation (interquartile range) was 0 (3.56) and the median deviation (interquartile range) was 12.41 (19.59) in the control group. The observation group Belt deviation angle was significantly less than the control group (P <0.001, P = 0.000). The rate of detachment in the observation group was 8.74% (9/103), while that in the control group was 66.06% (72/109). The rate of detachment in the observation group was significantly less than that in the control group (P <0.01). Conclusion: One-off circumcision suture lacing device can effectively prevent the postoperative laceration, and it is easy to operate and has clinical value in clinical application.