[1]赵冬艳,唐达星,徐珊,等.干燥性闭塞性龟头炎儿童时期发病特点分析[J].临床小儿外科杂志,2018,17(01):34-37.
　Zhao Dongyan,Tang Daxing,Xu Shan,et al.The incidence of balanitis xerotica obliterans in children.[J].Journal of Clinical Pediatric Surgery,2018,17(01):34-37.
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干燥性闭塞性龟头炎儿童时期发病特点分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年01期 页码: 34-37 栏目: 论著 出版日期: 2018-01-28
Title:
The incidence of balanitis xerotica obliterans in children.
作者:
赵冬艳; 唐达星; 徐珊; 等
浙江大学医学院附属儿童医院泌尿外科
Author(s):
Zhao Dongyan;  Tang Daxing;  Xu Shan;  Wu Dehua;  Huang Yong;  Tao Chang;  Chen Guangjie;  Wang Xiaohao;  Gao Lei;  Shen Yiding;  Wang Hengyou;  Xu Zheming;  Ru Wei;  Tian Hongjuan;  Zhao Yijun;  Zhu Linfeng;  Wang Zhan.
Department of Paediatric Urology Surgery, Childrens Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China.
关键词:
干燥性闭塞性龟头炎; 瘢痕; 发病率; 儿童
Keywords:
Balanitis Xerotica Obliterans;  Cicatrix;  Incidence;  Child
文献标志码:
A
摘要:
目的　分析儿童包皮手术中干燥性闭塞性龟头炎（Ｂａｌａｎｉｔｉｓｘｅｒｏｔｉｃａｏｂｌｉｔｅｒａｎｓ，ＢＸＯ）的发
病情况。　方法　收集自２０１７年２月至２０１７年６月期间在本院行包皮手术（瘢痕包茎、包茎、包皮过
长、隐匿性阴茎）且包皮送病理检查的患儿临床资料，主要包括年龄、临床诊断、病理诊断。　结果　本
研究中ＢＸＯ的年龄分布集中在４～８岁。在２２１例送病理检查的患儿中，有３５例显示包皮ＢＸＯ变，其
中６０％来自于临床诊断瘢痕包茎的患儿；瘢痕包茎ＢＸＯ的阳性率为６１．８％（２１／３４），远高于临床诊断
为包茎（１１．１％；８／７２）、隐匿性阴茎（６％；５／８３）及包皮过长者（５．９％；１／１７）。　结论　瘢痕包茎患
儿ＢＸＯ阳性率较高，该疾病患儿的包皮建议常规送病理检查，明确诊断，有利于后期指导治疗。
Abstract:
ObjectiveAnalyze the incidence of balanitis xerotica obliterans (BXO) among pediatric circumcision patients.MethodsThe clinical data from patients who were treated with circumcision, including pathological phimosis, phimosis, redundant prepuce and concealed penis, were collected from February 2017 to June 2017 in our hospital. The data include patients age, clinical diagnoses and pathological results of foreskin samples.ResultsIn our study, the peak incidence age of BXO occurred between the ages of 4 to 8. A total of 221 foreskin samples were received and BXO was found in 35 cases. Among these patients, 21 patients (60%) were from those who were diagnosed with pathological phimosis. Of the children who had scarred foreskin, BXO was reported in 21 patients (61.8%), much higher than the incidence in phimosis (11.1%), concealed penis (6%) and redundant prepuce (5.9%).ConclusionThe incidence of BXO in pathological phimosis was much higher than other conditions. The foreskin samples from these patients should be examined histologically for further diagnosis and correlating treatment.

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