Objective: To assess the clinical efficacy of disposable circumcision suture device (DCSD) in children receiving circumcision.
Methods: Children with phimosis and redundant prepuce undergoing circumcision in our hospital were prospectively enrolled in this study hospital and randomized into DCSD group and conventional circumcision (CC) group. A total of 236 boys were enrolled, including 132 in DCSD group and 104 in CC group. The use of local anesthesia, operation time, intraoperative blood loss, intraoperative and postoperative pain scores, penile appearance satisfaction rates, postoperative complications, healing time of the incision, and the overall satisfaction rate were compared between the two groups.
Results: Compared with CC group, DCSD group had a significantly higher proportion of local anesthesia (P < 0.01), shorter operative time (P < 0.001), less intraoperative blood loss (P < 0.001), lower intraoperative and postoperative pain scores (P < 0.001), higher penile appearance satisfaction rates (P=0.03), less postoperative complications (P=0.04), shorter healing time (P < 0.001), and a higher overall satisfaction rate (P < 0.005).
Conclusions: The use of DCSD can shorten the operative time and is associated with good tolerance of local anesthesia, less pain, quick recovery, and higher penile appearance satisfaction rates in children receiving circumcision.
目的: 探讨一次性包皮切割缝合器在儿童包皮环切术中的优势。
方法: 前瞻性研究入组我院门诊就诊的包茎和包皮过长并行包皮环切术的儿童，随机分成包皮切割缝合器组和传统包皮环切手术组；共纳入236例男童，其中一次性包皮切割缝合器组132例，传统手术方式104例。通过评估两种手术方式局部麻醉方式占比，手术时间，术中出血量，术中和术后疼痛评分，术后阴茎外观满意率，术后并发症发生率，切口愈合时间，术后总体满意率的差异；比较一次性包皮切割缝合器在儿童包皮环切术中的优势。
结果: 与传统包皮环切术组对比，包皮切割缝合器组具有局麻方式占比高（P < 0.001），手术时间短（P < 0.001），术中出血少（P < 0.001），术中和术后疼痛更轻（P < 0.001），术后切口愈合时间短（P < 0.001），术后阴茎外观满意率更高（P=0.03），术后并发症发生率更低（P=0.04），切口愈合时间更短（P < 0.001），总体满意度更高（P < 0.005）等优点。
结论: 使用一次性包皮切割缝合器的包皮环切术具有手术时间短、局麻耐受性好，围手术期疼痛轻、恢复快及术后外观漂亮等显著优势，更易于儿童及家长接受，值得临床广泛应用。
Keywords: children; circumcision; disposable circumcision suture device; satisfaction.