[1]刘殿勇 张静 高莉娟 张帅 许亚坤.大连市中山区和西岗区儿童及青少年精索静脉曲张患病情况分析[J].中国实用乡村医生杂志,2020,27(05):72-74.[doi:10.3969/j.issn.1672-7185.2020.05.025 ]
 LIU Dianyong,ZHANG Jing,GAO Lijuan,et al.Prevalence of Varicocele in Children and Teenagers in Zhongshan and Xigang District of Dalian City[J].Chinese Practical Journal of Rural Doctor,2020,27(05):72-74.[doi:10.3969/j.issn.1672-7185.2020.05.025 ]
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大连市中山区和西岗区儿童及青少年精索静脉曲张患病情况分析()
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《中国实用乡村医生杂志》[ISSN:1672-7185/CN:21-1502/R]

卷:
27
期数:
2020年05期
页码:
72-74
栏目:
临床研究
出版日期:
2020-05-15

文章信息/Info

Title:
Prevalence of Varicocele in Children and Teenagers in Zhongshan and Xigang District of Dalian City
文章编号:
 1672-7185(2020)05-0072-03 
作者:
刘殿勇 张静 高莉娟 张帅 许亚坤
作者单位:116001 辽宁 大连,大连市儿童医院泌尿外科
Author(s):
LIU Dianyong ZHANG Jing GAO Lijuan ZHANG Shuai XU Yakun
(Department of Urinary Surgery,Dalian Children’s Hospital, Dalian 116001, Liaoning Province, China)
关键词:
 精索静脉曲张睾丸容积睾丸萎缩指数儿童青少年
Keywords:
 Varicocele Testis Volume Testicular Atrophy Index Children Adolescents
分类号:
 R69 
DOI:
10.3969/j.issn.1672-7185.2020.05.025
文献标志码:
 A
摘要:
 目的 了解大连市中山区和西岗区儿童及青少年精索静脉曲张患病情况。方法 2016年1月—2019年3月从大连市中山区和西岗区中小学在校男生中,随机抽取2 070人行精索静脉曲张专科检查。结果 2 070名男生中共检出精索静脉曲张132例,总患病率6.38%,其中青春前期组检出12例,青春期组检出120例,两组患病率比较,差异具有统计学意义(χ2值为4.717,P<0.05)。132例患儿中,Ⅰ°患儿87例,其中青春前期组9例、青春期组78例;Ⅱ°患儿36例,其中青春前期组3例、青春期组33例;Ⅲ°患儿9例,均为青春期组。青春前期组和青春期组患儿左右侧睾丸容积比较,差异均无统计学意义(P>0.05)。睾丸萎缩指数青春前期组为1.41%,青春期组为5.60%,随着年龄增长睾丸萎缩指数逐渐增大。Ⅰ°和Ⅱ°患儿其左右侧睾丸容积比较,差异均无统计学意义(P>0.05)。Ⅲ°患儿左右侧睾丸容积比较,差异有统计学意义(P<0.05)。Ⅰ°、Ⅱ°和Ⅲ°患儿睾丸萎缩指数分别为2.27%、7.43%和10.60%,随着患病程度的加重睾丸萎缩指数逐渐增大。结论 精索静脉曲张在儿童期即可发病,随着年龄增长患病率逐渐升高,睾丸萎缩指数随着年龄增长和患病程度加重而逐渐增大。
Abstract:
Objective To explore the prevalence of varicocele in children and teenagers in Zhongshan District and Xigang District of Dalian City. Methods From January 2016 to March 2019, a total of 2, 070 boys from primary and secondary schools in Zhongshan District and Xigang District of Dalian were randomly selected for specialized examination of varicocele. Results A total of 132 cases of varicocele were detected in 2, 070 boys, with a total prevalence of 6.38%, of which 12 cases were detected in the preadolescence group with a prevalence of 1.10%, 120 cases were detected in the adolescence group with a prevalence of 12.30%, the difference between the two groups was significant (χ2=4.717, P < 0.05). Among the 132 cases, 87 cases were varicoceleⅠ° , including 9 cases in preadolescence and 78 cases in adolescence; 36 cases were varicoceleⅡ° , including 3 cases in preadolescence and 33 cases in adolescence; and 9 cases of varicocele Ⅲ° were adolescence. There was no significant difference in testicular volume between the two groups (P > 0.05). The atrophy index of testis was 1.41% in the preadolescence group and 5.60% in the adolescence group. With the increase of age, the atrophy index of testis gradually increased. There was no significant difference between the left and right testicular volumes in Ⅰ° and Ⅱ° children (P > 0.05). There was significant difference between the left and right testicular volumes in Ⅲ° children (P < 0.05). The atrophy index of testis was 2.27%, 7.43% and 10.60% in children with Ⅰ° , Ⅱ° and Ⅲ° , respectively. With the aggravation of the disease, testicular atrophy index increases gradually. Conclusion Varicocele can occur in childhood. The prevalence of varicocele increases with age, and testicular atrophy index increases with age and severity.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2019-11-25)

更新日期/Last Update: 2020-06-16