探究物理治疗对儿童阴茎发育不良的疗效及发育不良指数的构建  

Efficacy of a short-penis therapeutic apparatus on penile dysplasia in children and prediction of the penile dysplasia index

作　　者：濮婉婷 马依娜 娜菲莎·吐尔地 刘开放 李佳[2] PU Wan-ting;MA Yi-na;Nafisa Turdi;LIU Kai-fang;LI Jia(College of Pediatrics,Xinjiang Medical University,Urumqi,Xinjiang 830017,China;Department of Pediatrics Urology,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,China)

机构地区：[1]新疆医科大学儿科学院,新疆乌鲁木齐830017 [2]新疆医科大学第一附属医院小儿泌尿外科,新疆乌鲁木齐830054

出　　处：《中华男科学杂志》2025年第1期34-38,共5页National Journal of Andrology

基　　金：新疆维吾尔自治区重点研发计划(2023B03018-2);新疆维吾尔自治区科技支援计划(2022E02047);新疆维吾尔自治区自然科学基金面上项目(2022D01A141);国家自然科学基金地区科学基金项目(82460141)。

摘　　要：目的:研究短小阴茎治疗仪和宽频红外治疗仪对小儿阴茎发育不良的疗效及构建客观描述不良程度的参数。方法:选取2023年2月至12月由新疆医科大学第一附属医院小儿泌尿外科接诊的252例儿童为研究对象,治疗组为102例阴茎发育不良患儿,对照组为150例发育正常的儿童。均测量阴茎松弛长度(FPL)、牵拉长度(SPL)和直径(PD)。治疗组采用两种治疗仪治疗30 d后再次测量阴茎参数。定义阴茎发育不良指数为FPL/SPL和FPL/PD。结果:治疗组与对照组阴茎参数存在差异[FPL:(1.97±0.72)cm vs(3.25±0.51)cm,P<0.01;SPL:(3.80±0.81)cm vs(5.21±0.79)cm,P<0.01]。治疗组治疗后FPL显着升高[(1.97±0.72)cm vs(2.90±1.20)cm,P<0.01]。治疗组的FPL、SPL显著短于对照组,FPL/SPL和FPL/PD的临界值为0.57、2.09,灵敏度为80.7%、95.3%,特异度为69.6%、82.4%。结论:使用短小阴茎治疗仪和宽频红外治疗仪治疗可促进阴茎生长发育。FPL/PD可作为客观指标,有效描述阴茎发育不良的严重程度。Objective:To investigate the therapeutic effect of the short-penis treatment apparatus and wide-band infrared therapy apparatus on penile dysplasia(PDP)in children and establish objective parameters for assessing the severity of PDP.Methods:This study included 252 children received in the Department of pediatric urology of the First Affiliated Hospital of Xinjiang Medical University from February to December 2023,102 with PDP(the PDP group)and the other 150 with normal penile development(the control group),those of the former group treated with the short-penis therapeutic apparatus and wide-band infrared therapy apparatus.Before and after 30 days of treatment,we measured the flaccid penile length(FPL),stretched penile length(SPL)and penile diameters(PD)of the children,and defined the penile dysplasia index as the FPL/SPL and FPL/PD ratios.Results:The penile parameters exhibited statistically significant differences between the PDP and control groups,(FPL:[1.97±0.72]cm vs[3.25±0.51]cm,P<0.01;SPL:[3.80±0.81]cm vs[5.21±0.79]cm,P<0.01).The FPL remarkably increased in the PDP group after treatment([1.97±0.72]cm vs[2.90±1.20]cm,P<0.01).Both FPL and SPL were notably shorter in the PDP cases than in the controls,with the cutoff values of 0.57 and 2.09,sensitivities of 80.7%and 95.3%,and specificities of 69.6%and 82.4%for FPL/SPL and FPL/PD,respectively.Conclusion:The short-penis therapeutic apparatus and wide-band infrared therapy apparatus can promote the growth and development of the penis in children.The ratio of FPL/PD can serve as an objective indicator to effectively describe the severity of penile developmental abnormalities.

关 键 词：儿童 阴茎发育不良 阴茎 短小阴茎治疗仪 阴茎发育不良指数 

分 类 号：R726.9[医药卫生—儿科]