Sun Huizhen,Lü Yiqing,Huang Yichen,et al.Effect of ballooning of foreskin in phimosis on uroflowmetry in preschool children[J].Journal of Clinical Pediatric Surgery,2020,19(11):987-990.[doi:10.3969/j.issn.1671-6353.2020.11.005]
包皮鼓起对学龄前包茎儿童尿流率的影响
- Title:
- Effect of ballooning of foreskin in phimosis on uroflowmetry in preschool children
- Keywords:
- Phimosis; Ballooning of Foreskin; Uroflowmetry; Child
- 分类号:
- R726.9;R697+.1
- 摘要:
- 目的 评价包皮鼓起对学龄前儿童尿流率的影响。方法 回顾性分析上海交通大学附属儿童医院自2013年7月至2019年4月诊断为包茎并完成尿流率检测的学龄前儿童临床资料。按排尿时是否存在包皮鼓起，分为包皮鼓起组和无症状组。采集最大尿流率（maximal flow rate，Qmax）、平均尿流率（average flow rate，Qave）、排尿量、排尿时间、尿流曲线形态等参数。结果 总计150例学龄前包茎儿童入组，平均年龄（5.14±1.09）岁，包皮鼓起组60例，无症状组90例。包皮鼓起组Qmax、Qave显著低于无症状组[包皮鼓起组vs.无症状组Qmax：（12.84±3.52）mL/s vs.（14.65±4.28）mL/s，t=-2.73，P=0.007；Qave：（7.89±2.14）mL/s vs.（8.82±2.46）mL/s，t=-2.38，P=0.019]，包皮鼓起组排尿时间显著高于无症状组[包皮鼓起组vs.无症状组：（18.64±11.15）s vs.（14.98±7.57）s，t=2.39，P=0.018]，而排尿量在两组之间无显著差异[包皮鼓起组vs.无症状组：（141.78±63.22）mL vs.（129.52±63.23）mL，t=1.04，P=0.30]。此外，两组之间尿流曲线异常比例也存在显著差异（包皮鼓起组vs.无症状组：10%vs.1.1%，χ2=6.39，P=0.011）。控制年龄、排尿量这两个因素后，包皮鼓起组的Qmax、Qave仍显著低于无症状组。结论 对学龄前儿童而言，排尿时包皮鼓起的包茎儿童尿流率参数明显低于无症状包茎儿童。
- Abstract:
- Objective To explore the effect of ballooning of foreskin in phimosis on uroflowmetry in preschool children.Methods Retrospective clinical data were collected from 150 preschool children with phimosis and completing uroflowmetry from July 2013 to April 2019.Based upon disease history,they were divided into two groups of foreskin ballooning (n=60) and non-ballooning (n=90).The relevant uroflowmetric parameters included maximal flow rate (Qmax),average flow rate (Qave),voiding volume,voiding time and uroflowmetric curves.Results The mean age was (5.14±1.09) years.As compared with non-ballooning counterparts,children with foreskin ballooning had lower Qmax/Qave and longer voiding time[Qmax (12.84±3.52 vs.14.65±4.28,t=-2.73,P=0.007);Qave(7.89±2.14 vs.8.82±2.46,t=-2.38,p=0.019);voiding time (18.64±11.15 s vs.14.98±7.57 s,t=2.39,P=0.018)].And significant difference existed in voiding volume (141.78±63.22 vs.129.52±63.23,t=1.04,P=0.30).Also significant inter-group difference existed in abnormal uroflowmetric curve (10% vs.1.1%, χ2=6.39,P=0.011).After adjusting for age,voiding volume,Qmax and Qave in children with ballooning were still higher than non-ballooning counterparts.Conclusion Phimosis with foreskin ballooning has lower uroflowmetric parameters than that without ballooning in preschool children.
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备注/Memo
收稿日期:2020-09-08。
基金项目:新生儿严重泌尿系统畸形规范化诊治的多中心临床研究，市科委医学和农业领域项目（编号：14411950403）
通讯作者:谢华,Email:drxiehua@163.com