目的 观察台州黄岩地区儿童阴茎包皮发育特点,探讨包皮手术指征及术式改良意义,分析男童包皮疾病诊治现状。方法 选择2014年6月-2015年6月的1223例4-14岁儿童按年龄分为5组:A组4-6岁,B组6-8岁,C组8-10岁,D组10-12岁,E组12-14岁,观察其阴茎形态及包皮粘连情况。结果 5组包茎率分别为54.78%、47.11%、37.03%、18.55%、13.76%。随年龄增长,包皮相对缩短,包茎率明显下降(r=-0.786,P〈0.05)。结论 包茎在儿童时期非常普遍,其可作为儿童包皮发育的正常生理表现,单纯的包皮过长及包皮粘连不需要包皮环切手术治疗,但包皮狭小者应及时手术治疗。
Objective To investigate the status of penis and foreskin development and treatment of Taizhou children.Methods From June 2014 to June 2015,1223 male children aged 4 to 14 years old were divided into 5 groups:children of 4-6 years was Group A,6~8 years was Group B,8-10 years was group C,10-12 years was Group D,12-14 years was group E,exam the foreskin and penis status.Results Phimosis rates of each group respectively were 54.78%,47.11%,37.03%,18.55%and 13.76%.Prevalence rate of phimosis,redundant prepuce and the foreskin adhesion gradually drops with the increase of age(r=-0.786,P〈0.05).Conclusion Phimosis is a natural course of foreskin development in children,circumcision is not necessary for simple adherent prepuce.