酒泉市4834名男性学生外生殖器发育与相关疾病流行病学调查研究

Epidemiological Study on External Genitalia Development of 4 834 Male Students in Jiuquan

目的通过对幼儿园至高中男生进行普查,了解其外生殖器生理发育情况、相关疾病及卫生状况。方法对酒泉市所辖7个县市区的22所中小学、托儿所4～18岁共计4834名男生外生殖器进行体检,包括外生殖器发育、睾丸容积测量、阴茎长度测量、阴茎直径测量、外生殖器相关疾病及包皮粘连扩张等。结果酒泉市4834名男性学生中包皮过长3095名(64.00%),包茎1004名(20.80%),精索静脉曲张39名(0.80%),腹股沟斜疝35名(0.70%),隐睾4名(0.08%),鞘膜积液23名(0.50%),尿道口炎、包皮炎54名(1.10%),隐匿性阴茎116名(2.4.0%),尿道口囊肿6名(0.10%)。结论男性在生殖健康方面存在很多问题,如较多外生殖器疾患未及时治疗、外生殖器卫生状况较差及男生缺乏卫生保健知识等。学校及相关卫生部门应加强生理健康知识教育、男性外生殖器发育保健知识教育和监测工作。

OBJECTIVE To understand the physiological development of the external genitalia,related diseases and health conditions on the census of kindergarten to high school boys.METHODS Seven counties and cities under the jurisdiction of Jiuquan City,22 primary and secondary schools,nurseries 4 to 18-year-old 4834 male external genitalia undergo a medical examination,including the development of external genitalia,testicular volume measurement,the penis length measurement,the penis diameter measurement,the external genitalia related diseases and foreskin adhesions expansion.RESULTS The Jiuquan 4 834 male students in 3 095 of the prepuce（64.00%）,phimosis 1 004（20.80%）,varicocele,39（0.80%）,inguinal hernia in 35（accounting for 0.70%）,the cryptorchid 4（0.08%）,hydrocele 23（0.50%）,urethra inflammation,posthitis 54（1.10%）,occult penis 116（2.40%）,urethra cyst 6（0.10%）.CONCLUSION The prepuce and phimosis are the boys frequently-occurring disease.More external genitalia disorders not promptly treated,poor health status of the external genitalia,boys lack of knowledge about health care.Schools and health departments should strengthen the physiological health education,knowledge about health care education and monitoring of the male external genitalia development.