临清市2009年至2018年男性生殖系统病变的临床病理分析

Clinicopathological analysis of male reproductive system lesions from 2009 to 2018 in Linqing

目的统计临清市2009年至2018年男性生殖系统不同病变检出率情况,分析其不同年份、不同年龄段的发病趋势,为临清市男性生殖系统病变防治提供可靠理论依据。方法选择2009年至2018年在聊城市第二人民医院进行阴茎、前列腺、睾丸、阴囊病变诊治的2816例男性患者作为研究对象。根据最终病理检查结果分别按照不同年份、不同年龄段进行统计,分析病变构成、检出率变化及发病趋势。结果每年有50%左右的男性检出良性前列腺增生(BPH);近10年BPH检出率呈升高趋势,而阴茎尖锐湿疣和疣状癌、睾丸附睾炎和精原细胞瘤、阴囊炎检出率呈降低趋势;阴茎炎、尖锐湿疣和软纤维瘤、睾丸附睾炎和畸胎瘤检出率随着年龄增长呈降低趋势,高发年龄为≤30岁;BPH和前列腺癌检出率随着年龄增长呈升高趋势,高发年龄为≥61岁,睾丸腺瘤样瘤、精原细胞瘤和生殖细胞瘤、阴囊炎和良性肿瘤检出率随着年龄增长呈升高后降低趋势,高发年龄为31岁~50岁。结论BPH为男性生殖系统最常见病变;男性生殖系统恶性肿瘤为良性肿瘤的2倍,良性肿瘤以阴茎尖锐湿疣和睾丸畸胎瘤常见,在年轻男性中的检出率较高,恶性肿瘤以前列腺癌和睾丸生殖细胞源性肿瘤常见,在中老年男性中的检出率较高。

Objective To analyze the detection rate of male reproductive system lesions in Linqing city from 2009 to 2018,and the morbidity trend in different years and ages,so as to provide a reliable theoretical basis for the prevention and treatment of male reproductive system lesions in Linqing City.Methods A total of 2,816 male patients with penile,prostate,testicular,and scrotal lesions treated in the Second People's Hospital of Liaocheng from 2009 to 2018 were selected as study subjects.According to the final pathological examination results,statistics were conducted in different years and ages respectively,to analyze the lesion composition,detection rate change and incidence trend.Results About half of men are diagnosed with benign prostate hyperplasia(BPH)each year.In recent 10 years,the detection rate of BPH showed an increasing trend,while the detection rate of penile condyloma and verrucous carcinoma,testis epididymitis,seminoma and scrotitis showed a decreasing trend.The detection rate of penile inflammation,condyloma acuminatum and soft fibroma,orchial epididymitis and teratoma decreased with the increase of age,and the high incidence age was≤30 years.The detection rate of BPH and prostate cancer increased with age,and the high incidence age was≥61 years old.The detection rate of testicular adenomatoid tumor,seminoma and germ cell tumor,scrotitis and benign tumor increased and then decreased with age,and the high incidence age was 31 to 50 years old.Conclusions BPH is the most common lesion of male reproductive system.Malignant tumors of the male reproductive system are twice as common as benign tumors,benign tumors are common with penile condyloma acuminatum and testicular teratoma,and the detection rate is higher in young men,while malignant tumors are common with prostate cancer and testicular generative cell tumors,and the detection rate is higher in middle-aged and elderly men.