征兵体检男性中精索静脉曲张患病率及其与BMI关系  

Relationship between the prevalence of varicocele and BMI in men undergoing military examination

作　　者：李同海 张楠 熊磊 郎磊 宋光烨 黄宇 Li Tonghai;Zhang Nan;Xiong Lei;Lang Lei;Song Guangye;Huang Yu(The Third Affiliated Hospital of Yunnan University of Traditional Chinese Medicine,Kunming 650500,Yunnan,China)

机构地区：[1]云南中医药大学第三附属医院,云南昆明650500

出　　处：《中国男科学杂志》2024年第1期85-88,共4页Chinese Journal of Andrology

摘　　要：目的 统计高校精索静脉曲张(varicocele,VC)患病率及与体重指数(body mass index,BMI)之间的关系,为后续精索静脉曲张的预防提供相关数据支持。方法 统计昆明市呈贡区大学城参加征兵体检的2017名健康男性大学生精索静脉曲张患病率,年龄在18~23岁,对精索静脉曲张患者进行评估及分级,采集身高体重计算体重指数,根据患者精索静脉分级与BMI进行数据统计分析。结果 精索静脉曲张总检出率为58.75%,其中轻度精索静脉曲张患病率40.30%,中度精索静脉曲张患病率12.94%,重度精索静脉曲张患病率5.00%,双侧精索静脉曲张患病率为0.50%,参与者的平均年龄为(20±1.5)岁,其中BMI中位数为(22.8±1.2)kg/m2。结论 云南省昆明市呈贡区大学城男性大学生精索静脉曲张患病率为58.75%,远比2022版泌尿外科指南中数据高,这一情况的发生可能与所收集资料人群均“生长发育迅速,睾丸体积迅速增大,局部血流加快”等因素相关。数据统计发现,BMI值高者精索静脉曲张患病率相比BMI值低者低,反之越高,BMI值与精索静脉曲张患病率呈负相关。Objective To analyze the prevalence of varicocele(VC)and its relationship with body mass index(BMI)in men undergoing military examination,and provide relevant data support for the subsequent prevention of varicocele.Methods A total of 2017 healthy males aged between 18 and 23 years old,college students at Chenggong District of Kunming,who participated in military examination,were enrolled in the study.The prevalence of varicocele in these male college students was analyzed and the grades of varicocele were evaluated.Height and weight data of patients were collected and the body mass index was calculated.The varicocele grading and BMI of the patients were statistically analyzed.Results Among all the participants,58.75%were diagnosed with varicocele,including 40.30%mild varicocele,12.94%moderate varicocele,5.00%severe varicocele and 0.50%bilateral varicocele.The average age of participants was(20±1.5)years,and their median BMI was(22.8±1.2)kg/m 2.Conclusion The prevalence of varicocele in college students of the university town of Chenggong District,Kunming City,Yunnan Province,was 58.75%,which was much higher than that provided by the 2022 edition of urology guidelines.This finding may be related to multiplex factors such as“growth and development are rapid,testicular volume increases rapidly,and local blood flow accelerates”.The statistical data revealed that the prevalence of varicocele in those with high BMI was lower than that in those with low BMI.The prevalence of varicocele was negatively correlated with BMI.

关 键 词：精索静脉曲张 流行病学 患病率 体重指数 

分 类 号：R697.24[医药卫生—泌尿科学]