合肥地区5172名男性青少年外生殖器疾病的流行病学调查

Eidemiological study of external genital diseases in 5172 adolescents

目的了解男性青少年外生殖器疾患的患病情况及其外生殖器卫生状况。方法随机抽取合肥地区大、中、小学三所学校７～２２岁男性学生共５１７２名，以全国统编教材《外科学》（第三版）为诊断标准，检查其外生殖器疾患和卫生状况。结果各种外生殖器疾患的患病率为：包皮过长６７．７９％，包茎１０．０９％，其患病率均随年龄增长而下降，其次为精索静脉曲张１９．８２％，鞘膜积液０．８７％，隐匿阴茎０．６８％，隐睾０．３９％等。在包皮过长患者中，清洗包皮阴茎头时间间隔≥１４天者，９５．７０％患有包皮阴茎头炎。结论合肥地区男性青少年外生殖器卫生状况较差，包皮过长与包茎是男性青少年外生殖器的常见疾患，其中部分可随发育而自然翻转至正常。建议在男性青少年中要进行进行外生殖器卫生的健康教育，并应在男生入学体检中加强对男青少年外生殖器的检查，以便早期诊断治疗。

Obiective To study the incidence of external genital diseases and the health status of external genitalia in male adolescents inchina.Methods 5172 male adolescents aged7～22were sampled randomly to examine the diseases and health status of external genitalia.According to the diagnostic criteria in textbook Surgery(3rdedition),all examinations were carried out by urologists.Results The total incidence of redundant prepuce was 67.79%,phimosis 10.09%,varicocele 19.82%,hydrocele 0.87%, concealed penis 0.68%,cryptorchidism 0.39%.Comclusion The health status ofexternal genitalia in male adolescents is bad.Redundant prepuce and phimosis are common diseases.The examinati on of external genitalia should be carried out in the physical examination of admission.This study may provide the theoretical evidence for prevention and treatment of male external genital disease as well as the important data for study on and rology.