儿童精索静脉曲张患病情况的调查

Study on prevalence of varicocele in children of Shandong province

目的 研究儿童精索静脉曲张的患病规律。方法 对山东省四地区4 274名男性儿童及青少年进行专科检查,计算精索静脉曲张的患病率,并对患病儿童的双侧睾丸大小进行比较。结果 山东省四地区4 274名在校儿童及青少年中共检出精索静脉曲张患儿 460人,总患病率为10.76%。青春前期组1 248人,检出患儿 70人,患病率为5.61%;青春期组3 026人,检出患儿 390人,患病率为12.89%。两组患病率进行χ2 test,P<0.05,差异具有显著性意义。所有患病儿童双侧睾丸大小进行比较,差异没有显著性意义。结论 精索静脉曲张发生于儿童期及青春期,且患病率随着青春期的到来而明显升高。在儿童及青春期,精索静脉曲张患儿两侧睾丸容积差异无显著性意义。

Objective To investigate the prevalence of varicocele in children.Methods Total 4274 male boys from four districts in Shandong province were examined. And the incidence of varicocele was calculated based on this investigation. Moreover, the bilateral testicular volume of children with varicocele was recorded.Results Varicocele was detected in 460 of 4274 boys. The total incidence was 10.76%. The incidence in four districts was 11.31%(101/893, Jinan), 10.59% (99/935, Taian), 10.17% (85/836, Zibo), and 10.87% (175/1610, Yantai), respectively. In 1248 prepubertal boys, varicocele was detected in 70 and the incidence was 5.61%. In 3026 pubertal boys, however, varicocele was detected in 390 and the incidence was 12.89%. There was a significant difference of incidence of varicocele between these two groups (P< 0.05). There was no significant difference of testicular volume between two sides of testes.Conclusions The incidence of varicocele was increased with puberty coming.