浅表及腹部探头联合探测评估隐匿性阴茎分型的初步研究  

Preliminary study on the combined detection of superficial and abdominal probes in the assessment of concealed penile classification

作　　者：苏瑞 殷玮琪 吴科荣[1] 廉艳东 王国耀[1] Su Rui;Yin Weiqi;Wu Kerong;Lian Yandong;Wang Guoyao(Department of Urology,Ningbo University Afliated First Hospital,Ningbo 315010,Zhejiang,China;Department of Radiology,Ningbo University Afliated First Hospital,Ningbo 315010,Zhejiang,China)

机构地区：[1]宁波大学附属第一医院泌尿外科,浙江宁波315010 [2]宁波大学附属第一医院放射科,浙江宁波315010

出　　处：《中国男科学杂志》2025年第1期72-75,共4页Chinese Journal of Andrology

基　　金：宁波市公益项目基金(202002N3198)。

摘　　要：目的探讨浅表及腹部探头联合探测评估隐匿性阴茎分型的应用价值。方法收集宁波大学附属第一医院2022年8月至2023年7月期间临床上确诊为隐匿性阴茎,且接受超声检查的30例病例资料,同期纳入非隐匿性阴茎的健康人群30例作为对照。采用浅表及腹部探头对入组病例行阴茎超声检查,测量外部阴茎和内部阴茎长度,计算内部阴茎长度与外部阴茎长度比值R,统计各个R值区间的人数,并根据临床分型对R值区间进行分类统计。结果总计60例受检者均可通过浅表或腹部探头获得较清晰的外部阴茎和内部阴茎声像图。病例组和对照组的外部阴茎平均长度分别为(32.6±8.0)mm和(54.7±9.1)mm,内部阴茎平均长度分别为(98.0±7.6)mm和(84.8±4.5)mm,两者均有统计学差异。病例组经泌尿男科医生体格检查后分型结果:轻型9例、中型16例、重型5例。其中,轻型对应的1.5≤R<2病例数为1例,2≤R<2.5病例数为8例;中型对应的2≤R<2.5病例数2例,2.5≤R<4病例数14例;重型对应的4≤R<5病例数3例,5≤R<6病例数2例。而对照组对应的1≤R<1.5区间12例,1.5≤R<2区间18例。结论浅表及腹部探头联合探测对于隐匿性阴茎分型的评估具有较大的可行性和临床应用价值。初步总结超声评价隐匿性阴茎分型的参考标准为:R<2正常,2≤R<2.5轻型,2.5≤R<4中型,R≥4重型。Objective To explore the application value of combined superficial and abdominal probe detection in the assessment of concealed penile classification.Methods Thirty cases clinically diagnosed with concealed penis and undergoing ultrasonography at the First Affiliated Hospital of Ningbo University from August 2022 to July 2023 were collected,along with thirty healthy individuals with non-concealed penis as controls in the same period.Superficial and abdominal probes were used to perform penile ultrasonography on the enrolled cases,measuring the lengths of the external and internal penis.The ratio(R)of the internal to external penile length was calculated,and the number of individuals in each R value interval was counted and categorized according to clinical classifications.Results Clear ultrasonographic images of both the external and internal penis were obtained for all 60 subjects using either superficial or abdominal probes.The average lengths of the external penis in the case and control groups were(32.6±8.0)mm and(54.7±9.1)mm,respectively,and those of the internal penis were(98.0±7.6)mm and(84.8±4.5)mm,respectively,showing statistical differences between the two groups.Following physical examination by urologists,the case group was classified into:mild(9 cases),moderate(16 cases),and severe(5 cases).For mild cases,the R value range was 1.5≤R<2 for 1 case,and 2≤R<2.5 for 8 cases;for moderate,2≤R<2.5 for 2 cases,and 2.5≤R<4 for 14 cases;for severe,4≤R<5 for 3 cases,and 5≤R<6 for 2 cases.The control group had 12 cases in the 1≤R<1.5 range and 18 cases in the 1.5≤R<2 range.Conclusion The combined use of superficial and abdominal probes for the assessment of concealed penile types is highly feasible and of significant clinical value.Preliminary criteria for ultrasonographic evaluation of concealed penile classification are summarized as follows:R<2 normal,2≤R<2.5 mild,2.5≤R<4 moderate,R≥4 severe.

关 键 词：隐匿性阴茎 超声检查 分型 

分 类 号：R697.1[医药卫生—泌尿科学] R445.1[医药卫生—外科学]