目的 分析儿童包皮手术中干燥性闭塞性龟头炎(Balanitis xerotica obliterans,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。
Objective Analyze the incidence of balanitis xerotica obliterans(BXO)among pediatric circumcision patients. Methods The 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. Results In 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%). Conclusion The 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.
