泰山医学院学报
泰山醫學院學報
태산의학원학보
JOURNAL OF TAISHAN MEDICAL COLLEGE
2015年
6期
601-603
,共3页
阴茎包皮%生长发育%发育异常%儿童
陰莖包皮%生長髮育%髮育異常%兒童
음경포피%생장발육%발육이상%인동
prepuce penis%growth and development%dysplasia%boy
目的：通过调查男童阴茎包皮发育状况，找出包皮发育规律，为包皮异常的诊治原则提供理论依据。方法以鲁西南（枣庄、济宁、菏泽）0~18岁男性作为调查对象，按年龄分为5组：0~3岁为第1组，4~6岁为第2组，7~10岁为第3组，11~14岁为第4组，15~18岁为第5组。手法上翻包皮，然后记录包皮可上翻的程度，并依此分为Ⅰ-Ⅶ度。结果各年龄组包茎率依次为80.54%，74.63%，56.41%，22.31%，20.21%，随着年龄的增长，包茎、包皮过长、包皮粘连的发生率均逐渐下降，呈负相关（r =-0.98，P =0.004）。7~18岁经常外翻清洗包皮组与不常清洗组的 I - VI 度包皮数在统计学上有显著性差异；7~10岁Ⅶ度包皮比例开始明显增加。结论包皮过长、包茎在儿童中普遍存在，大多数儿童的包皮在青春期能逐渐完全上翻，所以对包皮过长者建议在11岁以后手术治疗。
目的：通過調查男童陰莖包皮髮育狀況，找齣包皮髮育規律，為包皮異常的診治原則提供理論依據。方法以魯西南（棘莊、濟寧、菏澤）0~18歲男性作為調查對象，按年齡分為5組：0~3歲為第1組，4~6歲為第2組，7~10歲為第3組，11~14歲為第4組，15~18歲為第5組。手法上翻包皮，然後記錄包皮可上翻的程度，併依此分為Ⅰ-Ⅶ度。結果各年齡組包莖率依次為80.54%，74.63%，56.41%，22.31%，20.21%，隨著年齡的增長，包莖、包皮過長、包皮粘連的髮生率均逐漸下降，呈負相關（r =-0.98，P =0.004）。7~18歲經常外翻清洗包皮組與不常清洗組的 I - VI 度包皮數在統計學上有顯著性差異；7~10歲Ⅶ度包皮比例開始明顯增加。結論包皮過長、包莖在兒童中普遍存在，大多數兒童的包皮在青春期能逐漸完全上翻，所以對包皮過長者建議在11歲以後手術治療。
목적：통과조사남동음경포피발육상황，조출포피발육규률，위포피이상적진치원칙제공이론의거。방법이로서남（조장、제저、하택）0~18세남성작위조사대상，안년령분위5조：0~3세위제1조，4~6세위제2조，7~10세위제3조，11~14세위제4조，15~18세위제5조。수법상번포피，연후기록포피가상번적정도，병의차분위Ⅰ-Ⅶ도。결과각년령조포경솔의차위80.54%，74.63%，56.41%，22.31%，20.21%，수착년령적증장，포경、포피과장、포피점련적발생솔균축점하강，정부상관（r =-0.98，P =0.004）。7~18세경상외번청세포피조여불상청세조적 I - VI 도포피수재통계학상유현저성차이；7~10세Ⅶ도포피비례개시명현증가。결론포피과장、포경재인동중보편존재，대다수인동적포피재청춘기능축점완전상번，소이대포피과장자건의재11세이후수술치료。
Objective:This survey aims to find out prepuce development laws and to provide scientific evidence for diag-nosis and treatment of prepuce by investigating prepuce development situation of male children. Method:Select infants, primary school and middle school students in the Southwest of Shandong Province(Zaozhuang,Jining and Heze)as the re-search objects,divide them into five groups according to their ages:children of 0 - 3 years is Group 1,3 ~ 6 years is Group 2,7 ~ 10 years is group 3,11 ~ 14 years is group 4,15 ~ 18 years is group 5. Upturn the prepuce with hand,then keep a record of the upturning degrees and classify these records. Results:Phimosis rates of each group respectively are 80. 54% , 74. 63% ,56. 31% ,33. 33% ,10. 98% . Phimosis rate drops with the increase of age;the pertinence is r = - 0. 98,P =0. 004. Prevalence rate of phimosis,redundant prepuce and the foreskin adhesion gradually drops with the increase of age. There is a significant difference statistically between groups of 7 ~ 18 age with I - VI phimosis rate who often accept prepuce eversion cleaning and who don’t often accept prepuce eversion cleaning. Ⅶ phimosis rate of 7 ~ 10 age group is markedly increased. Conclusion:Redundant prepuce and phimosis are ubiquitous among children;most can be upturned in their pu-berty. For those who need treatment for phimosis,it is advised that surgical treatment can be conducted after they are 11 years old.
