尿道下裂合并阴茎下弯的弯曲程度与年龄的相关性分析

发布时间：2018-06-16 01:31

本文选题：尿道下裂 + 阴茎下弯　；参考：《重庆医科大学》2013年硕士论文

【摘要】：目的：探讨尿道下裂合并的阴茎下弯的弯曲与年龄的关系，认识尿道下裂合并阴茎下弯的形成机制，为矫正弯曲的手术方式选择提供一定的依据。方法：选取2103例尿道下裂合并阴茎下弯患儿，按年龄分为三组（0-3岁、3-7岁、7岁），分析各型尿道下裂是否合并下弯与年龄、异位尿道开口位置的相关性。其中有完整记录阴茎下弯程度资料的阴茎根型尿道下裂130例，按年龄分为婴幼儿组（0-3岁）、学龄前组（3-7岁）、学龄组（7-10岁），分析阴茎下弯的弯曲程度与年龄之间的相关性。结果：①2103例尿道下裂有813例（38.66%）合并阴茎下弯。②尿道下裂是否合并阴茎下弯与年龄间无明显相关性（P0.05）。③异位尿道开口位置越靠近端，合并阴茎下弯的比例越高（P0.01）。④随年龄增长，患儿阴茎下弯逐渐加重（P0.05）。结论：①同远端型尿道下裂相比，近端型尿道下裂腹侧组织缺失更多，更易合并阴茎下弯。②随着生长发育，导致阴茎下弯的组织病理学因素仍可能继续加重下弯发生，因此，矫形术中应充分解除其真性病理因素，，以避免残存的阴茎下弯组织病理学因素引起下弯复发。
[Abstract]:Objective: to investigate the relationship between the bends and the age of the hypospadias complicated with penis, and to understand the formation mechanism of hypospadias complicated with penile hypospadias, and to provide a basis for the choice of surgical methods for correcting the hypospadias. Methods: 2103 children with hypospadias complicated with penile hypospadias were divided into three groups according to their age. The relationship between hypospadias and age and the location of ectopic urethral orifice was analyzed. There were 130 cases of penile root hypospadias with complete records of the degree of underbending of penis. According to the age, 130 cases were divided into infant group (0-3 years old), preschool group (3-7 years old) and school age group (7-10 years old). The correlation between the degree of bended penile curvature and age was analyzed. Results there were 813 cases of hypospadias in 813 cases of hypospadias with urethral hypospadias. There was no significant correlation between urethral hypospadias and age. The position of ectopic urethral orifice was closer to the end of urethral orifice. With age, the ratio of penile flexure increased with age, and the ratio of P0.05 and P0.05 was increased gradually. Conclusion compared with distal hypospadias, the ventral hypospadias of the proximal hypospadias are more likely to be absent, and the histopathological factors that lead to the hypobaric bends may continue to increase with the growth and development of the hypobaric bends of the penis. Therefore, there is a significant difference between the two types of hypospadias. The true pathological factors should be fully removed in orthopedic surgery to avoid the recurrence of the inferior curvature caused by the remaining histopathological factors of the lower curvature of the penis.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R726.9

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