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目的探讨一次性包皮环切缝合器行包皮环切术的学习曲线问题,为其推广提供参考。方法回顾性分析2014年8至12月,由同一医师应用一次性包皮环切缝合器完成的连续50例包皮环切术患者的临床资料,按手术先后顺序分为A~E组,每组10例,比较各组的手术时间、术中出血量、术中和术后并发症发生率及外观满意率。结果 A、B组手术时间显著长于C、D、E组手术时间,差异有统计学意义(P<0.05),各组间的术中出血量及并发症如出血需缝扎、裂开需缝合及中转常规包皮环切的发生率无显著差异(P>0.05),术后并发症包括出血、感染、水肿、裂开发生率和术后外观满意率比较差异均无统计学意义(P>0.05)。结论应用一次性包皮环切缝合器行包皮环切术的学习曲线约为20例,此后手术操作及效果可达到较为稳定的程度。
Objective To investigate the learning curve of circumcision circumcision with a one-off circumcision suture to provide reference for its promotion. Methods The clinical data of 50 consecutive cases of circumcision completed by the same physician from August to December in 2014 were divided into groups A to E according to the order of operation For example, the operation time, intraoperative blood loss, incidence of intraoperative and postoperative complications and appearance satisfaction were compared between groups. Results The operation time in group A and B was significantly longer than that in group C, D and E (P <0.05). The intraoperative blood loss and complications such as suture and suture need to be sutured (P> 0.05). There were no significant differences in the postoperative complications including bleeding, infection, edema, dehiscence and postoperative appearance satisfaction rate (P> 0.05) ). Conclusion One-off circumcision circumcision circumcision circumcision learning curve is about 20 cases, after which the operation and the effect can reach a more stable level.