中国商环
Shang Ring

改变了传统的男性包皮环切手术概念


一种更加安全、有效和可接受的男性包皮环切器械和手术方法


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中华男科学杂志,2011,17(3):195-202

中国商环(Shang Ring)男性包皮环切技术临床应用研究进展

吕年青1,Philip S.Li(李石华)2, 3,David Sokal4,程跃5,彭弋峰6,Mark Barone7,黄翼然8,Marc Goldstein2, 3

1. 江苏省计划生育科学技术研究所,江苏南京210036;
2. Center for Male Reproductive Medicine and Microsurgery, Cornell Institute for Reproductive Medicine, Department of Urology, Weill Medical College of Cornell University, New York, NY 10065-4870, USA;
3. Center for Biomedical Research, The Population Council, New York, NY10021, USA;
4. Family Health International, Chapel-Hill, NC27709, USA;
5. 宁波大学医学院附属宁波市第一医院泌尿肾病中心,浙江 宁波315010;
6. 皖南医学院弋矶山医院性医学科,安徽 芜湖241001;
7. EngenderHealth, New York, NY10001, USA;
8. 上海交通大学医学院附属仁济医院泌尿科,上海200127


【摘要】

男性包皮环切能显着降低男性获得性艾滋病毒感染风险大约60%,被世界卫生组织和联合国艾滋病规划署(艾滋病规划署)推荐作为艾滋病毒预防策略中的一个重要干预措施。寻求一种更加安全,有效和可接受的男性包皮环切器械和手术方法,以便能够满足加快执行扩大包皮环切预防艾滋病毒感染项目的需求,已经成为相关国际组织,特别是非洲国家政府公共卫生事业的当务之急。2008年中国商环(Shang Ring)包皮环切标准化手术方案的建立,以及应用这个标准化手术方案和手术培训在中国以及2009年和2010年在肯尼亚实施中国商环成人包皮环切手术获得有用的和有意义的临床数据,证明了中国商环包皮环切术的诸多优势。手术培训手册和教学视频的多次修订为培训医护人员提供了更加准确的教学指南。经过多家相关国际机构专家的考察和评估,中国商环包皮环切技术已经成为支持在非洲艾滋病高发地区扩大包皮环切服务预防艾滋病毒感染项目最具潜力的候选包皮环切器械之一。可以预计,中国商环包皮环切技术的成功应用将会在改变数百万非洲人的生活方式的同时,也为中国男科学与泌尿外科学医生在包皮环切与艾滋病毒的预防和生殖健康相关的临床研究领域提供了丰富的机会。本文报告了2008年2月至2010年底期间中国商环包皮环切技术临床应用的国际和国内研究进展。

关键词: 男性;包皮环切术;商环;生殖道感染;艾滋病毒/艾滋病;人乳头状瘤病毒;子宫颈癌

中图分类号: R699.8 文献标志码: 甲 文章编号: 1009-3591(2011)03-0195-08

 

 

Zhonghua Nan Ke Xue. 2011 Mar;17(3):195-202.

Progress in the clinical studies of male circumcision using the Shang Ring.

[Article in Chinese]

Lü NQ, Li PS, Sokal D, Cheng Y, Peng YF, Barone M, Huang YR, Goldstein M.

Jiangsu Family Planning Research Institute, Nanjing, Jiangsu 210036, China. nq.lu2009@gmail.com

Abstract

Male circumcision can reduce men's risk of HIV infection from heterosexual intercourse by 60% and is therefore recommended as an important strategy for HIV prevention in Africa by WHO and UNAIDS. However, rapid expansion of male circumcision efforts could be greatly facilitated by a safer, more effective and acceptable male circumcision surgical technique or device. Shang Ring is a simple technique developed in China. It allows a circumcision to be completed with minimal bleeding, without suturing, and in only 3-5 min and reported complications are few. A standardized adult male circumcision surgical protocol utilizing the Shang Ring device was developed in 2008 in China. Several surgical training courses using this protocol were successfully held in 2009 and 2010 in China. A recent pilot clinical study of the Shang Ring was conducted to evaluate its safety and efficiency in Kenya in 2009. The results and acceptability among study participants were excellent and confirmed many of the advantages seen in the earlier Chinese studies from Wuhu, Ningbo and Xi'an, suggesting that the Shang Ring is safe for further studies in Africa, thus, could facilitate more rapid roll-out of adult male circumcision through task shifting, surgical efficiencies and better acceptability. Further international investigations of the Shang Ring technique have now been planned for Kenya and Zambia in 2011. Moreover, adult male circumcision utilizing the Shang Ring device is now being considered as ope of the potential candidate techniques to be used in the scale-up of adult male circumcision services for HIV prevention in WHO priority countries in Africa. This review article summarizes Shang Ring related clinical studies, seminars and surgical workshops, publications and presentations conducted between February 2008 and December 2010 in China, the United States and Africa.

 

PMID: 21485538 [PubMed - in process]

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