【摘 要】
：
Objectives: To compare the outcomes and complications of three methods of circumcision in a Chinese pediatric population.Methods: A total of 120 children were randomly assigned to three groups.Group Ⅰ
【机 构】
：
Department of Urology,Affiliated Drum Tower Hospital,Nanjing University,School of Medicine,Nanjing,2
论文部分内容阅读
Objectives: To compare the outcomes and complications of three methods of circumcision in a Chinese pediatric population.Methods: A total of 120 children were randomly assigned to three groups.Group Ⅰ was submitted to circumcision using the Shenghuan disposable device according to Yans method;group Ⅱ was submitted to circumcision using the same device, but according to Pengs methods;group Ⅲ was operated on by using the conventional scalpel/suture technique.The three groups were compared mainly by the following outcomes: duration of surgery, intraoperative bleeding, postoperative pain, cosmetic effect, and the rates of edema, dehiscence, scarring, adhesion and infection.Results: Groups Ⅰ and Ⅱ had less intraoperative bleeding.In terms of the duration of surgery, group Ⅰ was the quickest.Pain scores in using the Shenghuan disposable device were higher at 6 h after surgery compared with the conventional scalpel/suture technique.The percentage of patients using paracetamol in group Ⅱ was higher than that in group Ⅲ at 12 h after surgery.Other complications were similar, and all three groups had successful outcomes.Conclusions: Circumcision using the Shenghuan disposable device represents a safer and time-saving option compared with the conventional scalpel/suture technique, with better cosmetic outcomes.Yans method seems to be better than Pengs method when using the Shenghuan disposable device for circumcision in children.
其他文献
目的:探讨保留勃起功能的全膀胱切除术对浸润性膀胱癌的疗效.方法:对28例40-55岁男性多次复发非肌层浸润性及肌层浸润性膀胱癌,临床分期:T1、T2患者根治性膀胱全切除,保留性神经的同时保留精囊、输精管、神经血管束及部分前列腺包膜,手术中进行髂血管淋巴清扫.结果:28例患者回肠储尿囊术后经尿道自然排尿,尿量300-500ml,最大尿流率＞15ml/s,剩余尿＜25ml.术后性功能恢复时间3-6月.
目的:探讨小剂量西地那非联合复方玄驹胶囊治疗勃起功能障碍(erectile dysfunction,ED)的效果.方法:分析2013年7月-2014年8月于苏州九龙医院泌尿外科门诊治疗的ED患者49例,年龄25～47岁,平均35.3岁.患者入选标准:符合ED诊断标准;IIEF-5评分＜21分;无服用西地那非禁忌证;无生殖器先天异常;无严重高血压、心脏病、糖尿病.
目的:探讨腹腔镜下重复肾病肾切除术的手术技巧及其疗效.方法:常规建立人工腹膜后腔隙,打开肾周筋膜及脂肪囊,游离出重复肾的病肾输尿管,根据Meyer-Weiger定律,腹腔镜下一般下位肾输尿管在患者背侧上方而上位肾输尿管在腹侧下方,多有积水扩张.沿重复肾病肾的输尿管向上游离至肾盂水平,在该扩张的输尿管肾盂后方上缘仔细寻找可见病肾的动静脉血管,有时会有多支血供,应仔细分辨,充分游离后使用钛夹夹闭,此时
目的:探讨诊断性前列腺电切术在血清PSA异常的中、重度LUTS老年男性中的应用价值.材料与方法:对血清PSA异常的中、重度LUTS老年男性行经直肠前列腺穿刺活检术,对前列腺穿刺活检病理结果阴性且合并中、重度LUTS的老年男性行经尿道前列腺电切术,比较活检以及活检+诊断性前列腺电切术在血清PSA异常的中重度LUTS老年男性中诊断的差异,随访观察BPH患者在前列腺电切术后3个月、6个月和1年血清PSA
目的:采用RNA干扰靶向沉默HIF-1α基因的表达,研究其对人肾癌细胞株786-O裸鼠移植瘤生长的影响.方法:将人肾癌786-0细胞体外培养,选取对数生长期细胞接种于裸鼠右侧前肢腋窝皮下致瘤,15天后随机分成三组:实验组(重组质粒组)、阴性对照组(空载体组)、空白对照组.实验组利用有效的HIF-1α基因的siRNA表达载体多点注射于移植瘤瘤内及瘤周;空载体对照组予以等量空载体多点注射瘤内及瘤周;空
目的:探讨经直肠超声电导前列腺治疗仪对临床难治性慢性非细菌性前列腺炎的疗效.方法:49例难治性慢性非细菌性前列腺炎经直肠超声电前列腺治疗仪治疗2-4个疗程,疗程结束后观察其临床疗效.结果:49例患者中治愈0例、显效38例、有效8例、无效3例,治愈率77.5％,总有效率为93.9％.根据NIH-CPSI评分指标,治疗前后疼痛、尿路症状和对生活质量的影响均较治疗前改善(P＜0.01),未出现任何不良反
目的:探讨经皮下肾膀胱分流术在治疗输尿管梗阻患者中的临床应用价值.方法:晚期腹、盆腔恶性肿瘤患者10例,其中男4例,女6例,平均年龄51岁(42～63岁),其中双侧输尿管梗阻1例,右侧输尿管梗阻5例,左侧输尿管梗阻4例,结、直肠癌:8例,宫颈癌:2例,其中2例患者既往行肾脏外造瘘,8例患者无外造瘘病史.麻醉满意后,先取侧卧位,B超引导下行患侧肾穿刺造瘘术,置入Fr9肾膀胱分流导管的肾盂部分,B超探
目的:初步总结国产2μm激光经尿道汽化切割治疗前列腺增生的临床效果及应用成果.方法:回顾性分析我科2013年4月～7月应用国产2μm激光经尿道汽化切割治疗前列腺增生患者的临床资料.临床资料如下:本组共132例,年龄62-88岁,平均75.1岁,其中合并尿潴留13例,血尿5例,合并膀胱结石8例,合并尿路感染10例,合并高血压或冠心病或心律失常63例,合并糖尿病31例,脑血管意外14例.合并膀胱肿瘤2
目的:探讨单孔腹腔镜精索静脉高位结扎术的可行性、安全性.方法:收集2012年3月～ 2014年.6月期间我院应用经脐单孔3通道腹腔镜行精索静脉高位结扎术12例.其中左侧9例,双侧3例.患者年龄平均28.6岁;平均体重指数24.2.0 kg/m2;脐部做2cm弧形切口,应用10mm腹腔镜,5mm硬质弯型单孔腹腔镜器械、Triport 3孔通道.总结患者手术时间、术中出血量、术后并发症、术后疼痛指数(
Objective: To investigate the influence of Ureaplasma urealyticum (Uu) and Mycoplasma hominis (Mh) on the density, motility, morphology, and DNA fragmentation index (DFI) of spermatozoa in infertile m