新疆地区包茎自愈性的流行病学调查  

Spontaneous cure of phimosis in Xinjiang boys

作　　者：孙程[1] 盛新福[1] 王玉杰[1] 地里夏提[2] 

机构地区：[1]新疆医科大学第一附属医院泌尿外科,乌鲁木齐830054 [2]喀什地区第一人民医院

出　　处：《中华泌尿外科杂志》2007年第4期280-283,共4页Chinese Journal of Urology

基　　金：新疆维吾尔自治区科技厅特培项目（200301）

摘　　要：目的 探讨新疆地区包茎的发生率及自愈趋势。方法 采用流行病学调查方法对乌鲁木齐地区1400例3～18岁儿童包茎进行检查分型，按3～5岁100名，6～18岁每岁100名共分13组。按国际包茎诊断标准将包茎分为外口狭窄型和包皮粘连型，并进行统计学分析。结果 3～9岁组儿童500例包茎发生率82％～93％，10～15岁组600例包茎发生率从74％降至6％，16～18岁组300例从4％降至1％。结论 青春期前包茎的发生率高，青春期后发生率呈明显下降趋势，至18岁仅为1％。这种明显的自愈倾向提示临床对小儿包茎的诊断和治疗应当慎重。Objective To establish the incidence of phimosis in Xinjiang boys according to age groups. Methods Two types of phimosis, ＂narrow ring＂ and ＂adhesion＂, were decided after phimosis diagnosis was set. A total of 1400 cases of 3-18 years boys with each year-group 100 cases were random selected. The foreskin situation was recorded and statistic analysis was done after all the data collected. Results Phimosis in 3-9 years old boys showed a high incidence from 82%- 93%, in 10-15 years old showed a great decrease trend from 74% to 6%, in 16-18 years old from 6% to 1%. Conclusions Phimosis has been greatly misunderstood both by the medical community and by the public. This misunderstanding has led to many unnecessary, contraindicated circumcisions being performed on young boys. The spontaneous cure of phimosis indicate it is should prudence to diagnose and therapy prepuberty phimosis in boys.

关 键 词：包茎 发生率 自愈性 

分 类 号：R686[医药卫生—骨科学]