包皮口夹角和阴茎阴囊夹角在儿童先天性隐匿阴茎鉴别诊断中的应用  

Application of the foreskin angle and penis-scrotum angle in differential diagnosis of congenital concealed penis in children

作　　者：李圆 冯东川 朱孝宇 龚金超 韩涛 孙光耀 张习伦 Li Yuan;Feng Dongchuan;Zhu Xiaoyu;Gong Jinchao;Han Tao;Sun Guangyao;Zhang Xilun(Department of Urology,Xuzhou Children′s Hospital Affiliated to Xuzhou Medical University,Xuzhou 221006,China)

机构地区：[1]徐州医科大学附属徐州儿童医院泌尿外科,221006

出　　处：《中华诊断学电子杂志》2023年第1期37-41,共5页Chinese Journal of Diagnostics(Electronic Edition)

基　　金：江苏省高层次卫生人才“六个一工程”项目(LGY2019060)。

摘　　要：目的探讨包皮口夹角和阴茎阴囊夹角评价指标在儿童先天性隐匿阴茎鉴别诊断中的作用。方法收集2016年9月至2020年9月徐州医科大学附属徐州儿童医院泌尿外科接诊的106例单纯包茎和102例先天性隐匿阴茎患儿资料,每组根据年龄又可分为<6岁组、6~12岁组、>12岁组,单纯包茎组<6岁30例、6~12岁45例、>12岁31例,先天性隐匿阴茎组<6岁40例、6~12岁32例、>12岁30例。分别测量各组患儿的包皮口夹角和阴茎阴囊夹角,并进行比较。结果先天性隐匿阴茎组和单纯包茎组的包皮口夹角分别为60.00(45.00,78.50)°、5.00(0.00,10.00)°,差异有统计学意义(Z=12.50,P<0.01);阴茎阴囊夹角分别为115.00(110.00,120.00)°、30.00(0.00,46.50)°,差异有统计学意义(Z=12.47,P<0.01)。先天性隐匿阴茎组<6岁组、6~12岁组、>12岁组的包皮口夹角分别为75.50(60.00,88.75)°、68.00(50.00,79.50)°、45.00(35.00,56.25)°,差异有统计学意义(F=25.34,P<0.01);阴茎阴囊夹角分别为120.00(115.00,125.75)°、118.00(110.00,120.75)°、110.00(103.00,111.00)°,差异有统计学意义(F=34.32,P<0.01)。单纯包茎组<6岁组、6~12岁组、>12岁组的包皮口夹角分别为5.00(0.00,10.00)°、5.00(0.00,10.00)°、5.00(0.00,10.00)°,差异无统计学意义(F=0.14,P>0.05);阴茎阴囊夹角分别为38.50(20.00,60.00)°、30.00(0.00,49.00)°、20.00(0.00,40.00)°,差异有统计学意义(F=5.00,P<0.01)。结论包皮口夹角和阴茎阴囊夹角显著差异可应用于隐匿阴茎的鉴别诊断,协助明确病因并指导治疗。Objective To introduce the application of the foreskin angle and penis-scrotum angle in differential diagnosis of congenitally concealed penis in children.Methods From September 2016 to September 2020,data from 106 cases of phimosis and 102 cases of congenital concealed penis from Xuzhou Children′s Hospital affiliated to Xuzhou Medical University were compiled.Each age group could be separated into 3 categories:under 6 years old,6-12 years old,and over 12 years old.Of the phimosis cases,30 were under the age of six,45 were between the ages of 6 and 12,and 31 were over the age of 12.In the congenital concealed penis group,40 cases were under the age of 6,32 cases were between the ages of 6 and 12,and 30 cases were over the age of 12.The children′s foreskin angle and penis-scrotum angle were both measured and compared.Results The foreskin angle was 60.00(45.00,78.50)°in the congenital concealed penis group and 5.00(0.00,10.00)°in the phimosis group,respectively,and the difference was statistically significant(Z=12.50,P<0.01).Penis-scrotum angles were 115.00(110.00,120.00)°and 30.00(0.00,46.50)°in the two groups,respectively,with a statistically significant difference(Z=12.47,P<0.01).In the congenital concealed penis group,the foreskin angle was 75.50(60.00,88.75)°,68.00(50.00,79.50)°,and 45.00(35.00,56.25)°in different age groups,with a statistically significant difference(F=25.34,P<0.01).Penis-scrotum angles were 120.00(115.00,125.75)°,118.00(110.00,120.75)°,and 110.00(103.00,111.00)°in different age groups,respectively,with a statistically significant difference(F=34.32,P<0.01).In the phimosis group,the foreskin angle was 5.00(0.00,10.00)°,5.00(0.00,10.00)°,and 5.00(0.00,10.00)°in various age groups,with no significant difference(F=0.14,P>0.05).The penis-scrotum angle were 38.50(20.00,60.00)°,30.00(0.00,49.00)°and 20.00(0.00,40.00)°in different age groups,respectively,and the difference was statistically significant(F=5.00,P<0.01).Conclusion Significant difference of the foreskin angle and pen

关 键 词：隐匿阴茎 埋藏阴茎 包皮口夹角 阴茎阴囊夹角 诊断 

分 类 号：R69[医药卫生—泌尿科学]