预止血缝扎在青少年缝合器式包皮环切术中的应用

梁朝荣; 田志强; 黄鑫; 李金鹏; 庞强

doi:10.11659/jjssx.10E023141

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预止血缝扎在青少年缝合器式包皮环切术中的应用

临床研究 | 更新时间：2024-09-29

- 预止血缝扎在青少年缝合器式包皮环切术中的应用
- Application of pre-hemostatic suturing in adolescent circumcision with a stapler
- 局解手术学杂志 2024年33卷第9期页码：829-830
- 作者机构：
  
  联勤保障部队第923医院急诊科，广西南宁 530021
- 作者简介：
  
  田志强，E-mail：rongliangchao@qq.com
- 基金信息：
- DOI：10.11659/jjssx.10E023141
  中图分类号： R615
- 纸质出版日期：2024-09-25，
  
  收稿日期：2023-10-31，
- 稿件说明：
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梁朝荣,田志强,黄鑫等.预止血缝扎在青少年缝合器式包皮环切术中的应用[J].局解手术学杂志,2024,33(09):829-830.

LIANG Chao-rong,TIAN Zhi-qiang,HUANG Xin,et al.Application of pre-hemostatic suturing in adolescent circumcision with a stapler[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(09):829-830.
梁朝荣,田志强,黄鑫等.预止血缝扎在青少年缝合器式包皮环切术中的应用[J].局解手术学杂志,2024,33(09):829-830. DOI： 10.11659/jjssx.10E023141.

LIANG Chao-rong,TIAN Zhi-qiang,HUANG Xin,et al.Application of pre-hemostatic suturing in adolescent circumcision with a stapler[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(09):829-830. DOI： 10.11659/jjssx.10E023141.

摘要

目的

探讨预止血缝扎在青少年缝合器式包皮环切术中的应用效果。

方法

纳入于我院手术治疗的包皮过长患者120例，采用随机数字表法分为2组，其中观察组患者在预止血缝扎包皮大血管后行缝合器式包皮环切术治疗，对照组患者采用常规缝合器式包皮环切术治疗。统计2组患者手术时间、术中出血量、术后愈合时间及术后血肿发生情况。

结果

2组患者手术时间比较差异无统计学意义（

0.05）；观察组患者术中出血量少于对照组，术后愈合时间短于对照组，术后血肿发生率低于对照组，差异均有统计学差异（

0.05）。

结论

在缝合器式包皮环切术中采用预止血缝扎法能提高手术安全性，且简单易学，可使患者受益增加。

Abstract

Objective

To investigate the application of pre-hemostatic suturing in adolescent circumcision with a stapler.

Methods

A total of 120 patients with long foreskin treated in our hospital were included， and they were divided into two groups by random number table method， among which the patients in the observation group received circumcision with a stapler after pre-hemostatic suturing of the foreskin vessels， and these in the control group received conventional circumcision with a stapler. The operation time， intraoperative blood loss， postoperative healing time and occurrence of postoperative hematoma of the two groups were analyzed.

Results

There was no significant difference in the operation time between the two groups （

0.05）. The intraoperative blood loss in the observation gro

up was less than that in the control group， the postoperative healing time was shorter than that in the control group， and the incidence of postoperative hematoma was lower than that in the control group， with statistically significant differences （

0.05）.

Conclusion

The application of pre-hemostatic suturing in circumcision with a stapler can improve surgical safety， with ease of learning， which may increase the benefit of patients.

关键词

包皮环切术缝合器预止血缝扎包皮过长青少年

Keywords

circumcisionstaplerpre-hemostatic suturinglong foreskinadolescent

references

张铭.3种包皮环切器的临床应用比较分析［J］.中华男科学杂志，2021，27（8）：729-732.doi：10.13263/j.cnki.nja.2021.08.010http://dx.doi.org/10.13263/j.cnki.nja.2021.08.010.

冯铭恩.加固缝合联合弹力绷带对包皮环切患者术后出血的预防作用［J］.临床医学，2018，38（8）：52-54.doi：10.19528/j.issn. 1003-3548.2018.08.020http://dx.doi.org/10.19528/j.issn.1003-3548.2018.08.020.

Morris BJ， Moreton S， Krieger JN. Critical evaluation of arguments opposing male circumcision： a systematic review［J］. J Evid Based Med， 2019，12（4）：263-290.doi：10.1111/jebm.12361http://dx.doi.org/10.1111/jebm.12361.

Davis SM， Habel MA， Pretorius C， et al. Brief report： modeling the impact of voluntary medical male circumcision on cervical cancer in Uganda［J］. J Acquir Immune Defic Syndr， 2021，86（3）：323-328. doi： 10.1097/QAI.0000000000002552http://dx.doi.org/10.1097/QAI.0000000000002552.

Simpson M. Urologic conditions in infants and children： circumcision［J］. FP Essent， 2020，488：11-15.

Lovin JM， Stone KM， Pickett JK， et al. Sutureless circumcision using monopolar diathermy and 2-octyl cyanoacrylate is safe and effective in a cohort of 634 post-neonatal prepubescent boys［J］. J Pediatr Urol， 2022，18（6）：790-795. doi： 10.1016/j.jpurol.2022.03.014http://dx.doi.org/10.1016/j.jpurol.2022.03.014.

Jiang W， Fu JL， Guo WL， et al. A modified pressure dressing to avoid severe bleeding after circumcision with a disposable circumcision suture device and a discussion on the mechanism of bleeding with the disposable circumcision suture device［J］. Sex Med， 2021，9（2）：100288. doi： 10.1016/j.esxm.2020.100288http://dx.doi.org/10.1016/j.esxm.2020.100288.

李波，许国胜，周正兴，等.保留预缝扎、定位线结在单人操作儿童环切缝合器式包皮环切术中的应用［J］.中华男科学杂志，2022，28（4）：307-313.doi：10.13263/j.cnki.nja.2022.04.004http://dx.doi.org/10.13263/j.cnki.nja.2022.04.004.

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