阴茎指数及其在隐匿阴茎诊疗中的应用
发布时间：2019-01-06 20:20
【摘要】：背景： 儿童阴茎显露不良是指阴茎不能显露或不能完全显露的一组疾病，隐匿阴茎包含其中。目前，疾病的诊断及疗效评估主要依靠医生主观判断，缺乏客观指标。本研究旨在数据统计的基础上，探讨一项客观标准，，以用于临床对隐匿阴茎的诊断及疗效评估。 材料和方法： 选择2012年6月到2013年3月门诊行包皮环切术的包茎患儿55例（B组，对照组，年龄2.5岁~14岁）和住院行阴茎整形术的隐匿阴茎的患儿58例（A组，实验组，年龄2岁~13.3岁）。两组病人由小儿泌尿外科主治以上资历的医师进行诊断，都排除了尿道下裂、尿道上裂、小阴茎或蹼状阴茎。对两组个体术前的阴茎体的显露长度和阴茎实际长度分别进行测量，数据换算得到阴茎指数（Penis Index,PI）。 结果： A组患儿PI范围在0~0.760之间，平均为0.386。B组患儿PI范围在0.487~1.0之间，平均为0.852，两组平均数经过t检验，得到p接近于0，即P0.001，统计学上差异具有非常显著意义。 结论： 经过对阴茎测量后获得的阴茎指数的分析比较，得出隐匿阴茎患儿的平均指数（以下简称PI值）显著小于包茎患儿的PI值（P≤0.001）。基于以上分析，我们推测PI=0.5可以作为一个诊断临界值，即：PI≥0.5诊断为包茎，反之PI＜0.5诊断为隐匿阴茎。
[Abstract]:Background: underexposure of the penis in children is a group of diseases in which the penis cannot or is not fully exposed. At present, the diagnosis and evaluation of the disease mainly depend on the subjective judgment of the doctor and lack of objective indicators. The purpose of this study was to explore an objective criterion based on statistical data to evaluate the clinical diagnosis and efficacy of concealed penis. Materials and methods: from June 2012 to March 2013, 55 cases (group B, control group, aged 2.5 ~ 14 years) underwent circumcision of phimosis and 58 cases (group A) of concealed penis in hospital undergoing penile plastic surgery. Experimental group, aged from 2 to 13.3). Both groups were diagnosed by a pediatric urologist or above who ruled out hypospadias, small penises or webbed penises. The exposure length of penile body and the actual length of penis were measured before operation in two groups. The penile index (Penis Index,PI) was obtained by data conversion. Results: the range of PI in group A was between 0 and 0.760, and that in group B was 0.386.B, the range of PI was between 0.487U and 1.0, and the average was 0.852.The average value of the two groups was obtained by t test, p being close to 0, that is, P 0.001. The statistical difference is very significant. Conclusion: the average index (PI) of the children with concealed penis was significantly lower than that of the children with phimosis (P 鈮
本文编号：2403276
[Abstract]:Background: underexposure of the penis in children is a group of diseases in which the penis cannot or is not fully exposed. At present, the diagnosis and evaluation of the disease mainly depend on the subjective judgment of the doctor and lack of objective indicators. The purpose of this study was to explore an objective criterion based on statistical data to evaluate the clinical diagnosis and efficacy of concealed penis. Materials and methods: from June 2012 to March 2013, 55 cases (group B, control group, aged 2.5 ~ 14 years) underwent circumcision of phimosis and 58 cases (group A) of concealed penis in hospital undergoing penile plastic surgery. Experimental group, aged from 2 to 13.3). Both groups were diagnosed by a pediatric urologist or above who ruled out hypospadias, small penises or webbed penises. The exposure length of penile body and the actual length of penis were measured before operation in two groups. The penile index (Penis Index,PI) was obtained by data conversion. Results: the range of PI in group A was between 0 and 0.760, and that in group B was 0.386.B, the range of PI was between 0.487U and 1.0, and the average was 0.852.The average value of the two groups was obtained by t test, p being close to 0, that is, P 0.001. The statistical difference is very significant. Conclusion: the average index (PI) of the children with concealed penis was significantly lower than that of the children with phimosis (P 鈮
本文编号：2403276
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