小阴茎诊疗进展  

Normative diagnosis and treatment of small penis

作　　者：刘贵中(综述)[1,2] 牛远杰(审校)[1] 白文俊(审校)[3] LIU Gui-zhong;NIU Yuan-jie;BAI Wen-jun(Department of Urology,The Second Hospital of Tianjin Medical University,Tianjin 300211,China;Department of Urology,Xianshuigu Hospital of Jinnan District,Tianjin 300350,China;Department of Urology,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]天津医科大学第二医院泌尿外科,天津300211 [2]天津市津南区咸水沽医院泌尿外科,天津300350 [3]北京大学人民医院泌尿外科,北京100044

出　　处：《中华男科学杂志》2019年第8期754-757,共4页National Journal of Andrology

摘　　要：小阴茎属于性发育异常的一种疾病,机制不明,可能与染色体或基因异常、青春期发育异常、内分泌异常等因素相关,低促性腺激素性性腺功能减退者小阴茎常见。小阴茎患儿常常合并小睾丸、身材矮小、男性第二性征不足,成年后不育症发生率高。关注小阴茎患儿,精准测量阴茎牵拉长度,做到早期发现;积极筛查明确病因,重视小阴茎与埋藏阴茎和隐匿阴茎的鉴别,做到早期诊断;小阴茎患者确诊后积极临床干预,做到早期治疗,有效改善预后,提高生活质量及自然妊娠率。Small penis is a disease of sexual dysplasia,which might be related to chromosome or genetic abnormalities,pubertal dysplasia,endocrine abnormality,and other factors.Hypogonadism is common in small penis.Children with small penis often have small testes,short stature,and male secondary sexual deficiencies,and the incidence of infertility is high in adulthood.Small penis can be early detected by accurately measuring the stretched penile length,screening the pathogenic causes,and differentiating it from buried or concealed penis.Once definite diagnosis is made,positive clinical intervention should be initiated.Early treatment can improve the prognosis of small penis,the patient's quality of life and the rate of natural pregnancy.

关 键 词：小阴茎 阴茎牵拉长度 小睾丸 矮小身材 

分 类 号：R697.1[医药卫生—泌尿科学]