关键词: 临床疗效, 一次性包皮环切缝合器, 经典式包皮环切术, 袖套式包皮环切术

Abstract: ［Abstract］ Objective To summarize the experience of disposable circumcision suture device, conventional and sleeve circumcision and literature review. Methods Clinical data of patients receiving circumcision in our hospital （112 patients with disposable circumcision suture device, 123 with conventional circumcision and 108 with sleeve circumcision） between July 2014 and July 2016 was analyzed retrospectively. The operation time, blood loss, pain score, postoperative complication rate and postoperative penile appearance satisfaction rate were compared among these methods. Results The operation time for disposable circumcision suture device, conventional and sleeve was 5.6±3.5 min, 25.6±6.7 min and 34.3±5.4 min（P<0.001）；blood loss for these methods was 2.0±0.7 m, 12.3±5.8 ml and 4.1±2.3 mL（P<0.001）. The pain score 24 hours postoperatively was 3.1±1.1, 5.4±1.2 and 3.5±0.9（P<0.001）. The postoperative rate was 9.8% （11/112）, 16.3%（20/123） and 11.1% （12/108）（P=0.286）, and postoperative penile appearance satisfaction rate was 97.3% （109/112）、85.4% （105/123） and 95.4% （103/108） （P=0.001）. Conclusion All the surgical procedures have its own advantage and disadvantage. The disposable circumcision suture device is simple with short operation time, few blood loss and high postoperative penile appearance satisfaction rate, while the cost is high. The sleeve circumcision has longer operation time compared with conventional circumcision, with fewer blood loss, lower pain score and postoperative complication rate, higher penile appearance satisfaction. Therefore, sleeve circumcision could be considered in older boys and adults as recommendation.

Key words: conventional circumcision, sleeve circumcision, disposable circumcision suture device, clinical efficacy