单侧隐睾儿童阴茎长度调查研究  

Penile length of the children with unilateral cryptorchidism

作　　者：郭祥 李爽[1] 雷伟 郭晖[1] GUO Xiang;LI Shuang;LEI Wei;GUO Hui(Department of Urology,Wuhan Children,Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technologyy Wuhan,Hubei 430015,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院泌尿外科,湖北武汉430015

出　　处：《中华男科学杂志》2020年第2期139-142,共4页National Journal of Andrology

摘　　要：目的:通过单侧隐睾儿童和正常健康儿童阴茎长度的比较探讨隐睾对儿童阴茎发育的影响. 方法:采集2017年1月至2019年1月491例研究对象数据,年龄12 ~24个月,其中241例为健康体检儿童(健康对照组);250例单侧隐睾儿童(单侧隐睾组);同时单侧隐睾组根据术中睾丸位置被分为腹腔型隐睾组(n=123)和腹股沟型隐睾组(n =127).测量研究对象阴茎非勃起状态下伸展长度(SPL)及身高、体重. 结果:单侧隐睾组的阴茎长度为(3.7±0.5) cm,明显短于健康对照组[(4.3±0.8)cm,P<0.01].根据分层年龄(12~18个月和19~24个月),12~ 18个月和19 ~24个月单侧隐睾组患儿的SPL均显著低于同年龄健康对照组[12~ 18个月:(3.4±0.4) cmvs (3.8±0.6) cm,P<0.01;19 ~24个月:(3.8 ±0.7) cmvs (4.6 ±0.8) cm,P<0.01],同时隐睾组和健康对照组在身高、体重方面无统计学差异.腹腔型隐睾组SPL值明显短于腹股沟型隐睾组[(3.4±0.2)cm vs (3.8±0.3) cm,P<0.05]. 结论:单侧隐睾儿童的阴茎长度比健康男孩要短,睾丸位置越高者阴茎长度越短.Objective:To investigate the impact of unilateral cryptorchidism(UC)on penile development in children.Methods:We collected the relevant data on 491 male children aged 12-24 months from January 2017 to January 2019,including 241 normal healthy subjects(the control group)and 250 UC patients(the UC group,123 with intra-abdominal and the other 127 with inguinal cryptorchidism).We measured the stretched penile length(SPL)in the flaccid state and analyzed its association with the height and weight of the subjects.Results:The average SPL of the UC patients was significantly shorter than that of the normal controls([3.7±0.5]vs[4.3±0.8]cm,P<0.01),and so was that of the UC patients in the 12-18 and 19-24 months age groups than that of the normal controls in the same age groups(P<0.01).Besides,the SPL was also markedly shorter in the intra-abdominal UC than in the inguinal UC group([3.4±0.2][3.8±0.3]cm,P<0.05).No statistically significant differences,however,were observed in the height and weight of the subjects between the UC and normal control groups.Conclusion:The penile length of the boy with unilateral cryptorchidism is shorter than that of the normal healthy child,the higher the testis location,the shorter the penile length.

关 键 词：儿童 隐睾 阴茎 阴茎长度 

分 类 号：R726.9[医药卫生—儿科]