负压吸引辅以中药药浴治疗学龄期肥胖儿小阴茎的临床疗效分析

Efficacy analysis of negative pressure suction combined with washing by Chinese herbal bath to treat small penis in obese children at school age

目的探讨负压吸引辅以中药药浴治疗学龄期肥胖儿小阴茎的临床疗效。方法回顾性分析2016年6月至2017年9月新乡医学院第一附属医院治疗的60例肥胖儿小阴茎病例资料，年龄7～15岁[（11.1±2.0）岁]，体质量指数（BMI）：19.2～30.5（24.5±2.6）。治疗组使用阴茎治疗仪负压吸引辅以中药药浴治疗，每日1次，每次20 min，10 d/疗程，共2个疗程。选取同期来院健康查体的男童46例作为健康对照组，年龄8～14岁[（11.2±2.1）岁]，BMI：14.6～21.0（18.1±1.6），健康对照组儿童测量阴茎正常生长状态下20 d前后松弛长度及牵伸长度。治疗组治疗前后阴茎松弛长度和牵伸长度进行比较，并与健康对照组进行对比。结果治疗组阴茎松弛长度由治疗前（2.94±0.52） cm增加至（3.76±0.61） cm，差异有统计学意义（t＝－7.82，P〈0.05）；阴茎牵伸长度由治疗前（4.29±0.67） cm增加至（5.37±0.82） cm，差异有统计学意义（t＝－7.91，P〈0.05）。健康对照组阴茎初始松弛长度为（3.96±0.65） cm，自然生长20 d后为（4.07±0.65） cm，差异无统计学意义（t＝－0.82，P〉0.05），初始牵伸长度为（5.96±0.92） cm，自然生长20 d后为（6.03±0.90） cm，差异无统计学意义（t＝－0.37，P〉0.05）。治疗组治疗前后阴茎松弛长度、牵伸长度较健康对照组有明显增长，但尚不能达到同龄正常水平。结论负压吸引辅以中药药浴治疗肥胖儿小阴茎具有显著疗效。

Objective - To explore the clinical effect of negative pressure suction combined with washing by Chinese herbal bath to treat small penis in obese children at school age. Methods The data of 60 obese cases with small penis at the First Affiliated Hospital of Xinxiang Medical University from June 2016 to September 2017 were retrospectively analyzed, the age ranged from 7 to 15 years old, and the average age was （ 11.1 ± 2.0 ） years old, the body mass index（ BMI）was 19.2 - 30.5, and the average BMI was 24.5± 2.6. Treatment group received the penis treatment with negative pressure instrument suction supplemented by traditional Chinese medicine bath treatment, once a day,20 minutes each times, 10 days asa course, a totally of 2 treatment courses. Other 46 cases of male children who came to our hospital in the same period for physical exam were selected as healthy control group ,aged 8 -14 years old [ （ 11.2 ± 2.1 ） years ], BMI ： 14.6 - 21.0, mean 18.1± 1.6, and the relaxation length and elongation of 20 days before and after the normal growth state of the penis in the control group were measured. The length and elongation of the penis in the treatment group were compared with those of the healthy control group before and after treatment. Results The length of penile relaxation in the treatment group increased to （3.76 ±0.61 ） cm in comparison with that before treatment （ 2.94 ± 0.52 ） cm, and the difference was statistically significant （ t = - 7.82,P 〈 0.05 ） ; the penis elongation increased compared with that before treatment （4.29 ±0.67） cm to （5.37 ±0.82） cm,and the difference was statistically significant （ t = - 7.91 ,P 〈 0.05）. The initial relaxation length of the control group was （3.96±0. 65 ） cm, （4. 07 ± 0.65 ） cm 20 days after natural growth, the difference was not statistically significant （ t = - 0.82, P 〉 0.05 ）, the initial stretch length was （5.96 ±0.92） cm, （6.03 ± 0.90） cm natural growth after 20 days, and the difference was not statistically significant （ t = - 0.37, P 〉 0.05 ）. Before and after treatment, the length of penis relaxation and elongation were significantly increased, but they didn＇t reach the normal level at the same age. Conclusions Negative pressure suction supplemented with Chinese herbal medicine bath has a significant effect on treating obese children with small penis.