大连市中山区和西岗区儿童及青少年精索静脉曲张患病情况分析  

Prevalence of Varicocele in Children and Teenagers in Zhongshan and Xigang District of Dalian City

作　　者：刘殿勇[1] 张静[1] 高莉娟[1] 张帅 许亚坤 LIU Dianyong;ZHANG Jing;GAO Lijuan;ZHANG Shuai;XU Yakun(Department of Urinary Surgery,Dalian Children’s Hospital,Dalian 116001,Liaoning Province,China)

机构地区：[1]大连市儿童医院泌尿外科,辽宁大连116001

出　　处：《中国实用乡村医生杂志》2020年第5期72-74,共3页Chinese Practical Journal of Rural Doctor

摘　　要：目的了解大连市中山区和西岗区儿童及青少年精索静脉曲张患病情况。方法2016年1月—2019年3月从大连市中山区和西岗区中小学在校男生中,随机抽取2070人行精索静脉曲张专科检查。结果2070名男生中共检出精索静脉曲张132例,总患病率6.38%,其中青春前期组检出12例,青春期组检出120例,两组患病率比较,差异具有统计学意义(χ^2值为4.717,P<0.05)。132例患儿中,Ⅰ°患儿87例,其中青春前期组9例、青春期组78例;Ⅱ°患儿36例,其中青春前期组3例、青春期组33例;Ⅲ°患儿9例,均为青春期组。青春前期组和青春期组患儿左右侧睾丸容积比较,差异均无统计学意义(P>0.05)。睾丸萎缩指数青春前期组为1.41%,青春期组为5.60%,随着年龄增长睾丸萎缩指数逐渐增大。Ⅰ°和Ⅱ°患儿其左右侧睾丸容积比较,差异均无统计学意义(P>0.05)。Ⅲ°患儿左右侧睾丸容积比较,差异有统计学意义(P<0.05)。Ⅰ°、Ⅱ°和Ⅲ°患儿睾丸萎缩指数分别为2.27%、7.43%和10.60%,随着患病程度的加重睾丸萎缩指数逐渐增大。结论精索静脉曲张在儿童期即可发病,随着年龄增长患病率逐渐升高,睾丸萎缩指数随着年龄增长和患病程度加重而逐渐增大。Objective To explore the prevalence of varicocele in children and teenagers in Zhongshan District and Xigang District of Dalian City.Methods From January 2016 to March 2019,a total of 2,070 boys from primary and secondary schools in Zhongshan District and Xigang District of Dalian were randomly selected for specialized examination of varicocele.Results A total of 132 cases of varicocele were detected in 2,070 boys,with a total prevalence of 6.38%,of which 12 cases were detected in the preadolescence group with a prevalence of 1.10%,120 cases were detected in the adolescence group with a prevalence of 12.30%,the difference between the two groups was significant(χ^2=4.717,P<0.05).Among the 132 cases,87 cases were varicoceleⅠ°,including 9 cases in preadolescence and 78 cases in adolescence;36 cases were varicoceleⅡ°,including 3 cases in preadolescence and 33 cases in adolescence;and 9 cases of varicoceleⅢ°were adolescence.There was no significant difference in testicular volume between the two groups(P>0.05).The atrophy index of testis was 1.41%in the preadolescence group and 5.60%in the adolescence group.With the increase of age,the atrophy index of testis gradually increased.There was no significant difference between the left and right testicular volumes inⅠ°andⅡ°children(P>0.05).There was significant difference between the left and right testicular volumes inⅢ°children(P<0.05).The atrophy index of testis was 2.27%,7.43%and 10.60%in children withⅠ°,Ⅱ°andⅢ°,respectively.With the aggravation of the disease,testicular atrophy index increases gradually.Conclusion Varicocele can occur in childhood.The prevalence of varicocele increases with age,and testicular atrophy index increases with age and severity.

关 键 词：精索静脉曲张 睾丸容积 睾丸萎缩指数 儿童 青少年 

分 类 号：R69[医药卫生—泌尿科学]