对法国尼斯地区6246名新生男婴隐睾症患病率及相关危险因素的前瞻性研究。

Prospective study on the prevalence and associated risk factors of cryptorchidism in 6246 newborn boys from Nice area, France.

作者信息

Wagner-Mahler K, Kurzenne J-Y, Delattre I, Bérard E, Mas J-C, Bornebush L, Tommasi C, Boda-Buccino M, Ducot B, Boullé C, Ferrari P, Azuar P, Bongain A, Fénichel P, Brucker-Davis F

机构信息

Pediatrics Department, CHU Nice, Nice, France Conseil Général Des Alpes Maritimes, Nice, France.

出版信息

Int J Androl. 2011 Oct;34(5 Pt 2):e499-510. doi: 10.1111/j.1365-2605.2011.01211.x. Epub 2011 Aug 10.

Abstract

To assess the incidence and risk factors of cryptorchidism in Nice area. A 3-year prospective study was conducted at two maternity wards involving neonatal screening of boys born ≥34weeks of amenorrhoea. Methodology was strict with examination at birth, 3 and 12months by the same paediatrician. Two strictly matched controls were included for each case. Information on child and parents (medical history, pregnancy, lifestyle) was recorded using medical chart and self-administered questionnaires. A total of 102 of 6246 boys were born with cryptorchidism (prevalence 1.6%, 95 included). Half of them were still cryptorchid at three and 12months with, however, 10% of secondary re-ascent (recurrent cryptorchidism) at 12months, justifying long-term follow-up. Cryptorchidism at birth was associated with instrumental delivery, inguinal hernia and urogenital malformations, particularly micropenis and paternal history of cryptorchidism. Our results suggest that maternal exposure to anti-rust or phthalates could be a risk factor, whereas eating fruits daily seemed somewhat protective. Prevalence of cryptorchidism in our area is on the lower bracket compared with other countries, and is associated with both familial and environmental risk factors.

摘要

评估尼斯地区隐睾症的发病率及危险因素。在两家产科病房开展了一项为期3年的前瞻性研究,对孕周≥34周出生的男婴进行新生儿筛查。方法严格,由同一位儿科医生在出生时、3个月和12个月时进行检查。每例病例纳入两名严格匹配的对照。使用病历和自行填写的问卷记录有关儿童及其父母的信息(病史、妊娠情况、生活方式)。6246名男婴中共有102名出生时患有隐睾症(患病率1.6%,纳入95例)。其中一半在3个月和12个月时仍为隐睾症,但在12个月时有10%出现继发性上升(复发性隐睾症),这证明需要进行长期随访。出生时隐睾症与器械助产、腹股沟疝和泌尿生殖系统畸形有关,尤其是小阴茎和父亲的隐睾症病史。我们的结果表明,母亲接触防锈剂或邻苯二甲酸盐可能是一个危险因素,而每天吃水果似乎有一定的保护作用。与其他国家相比,我们地区隐睾症的患病率处于较低水平,并且与家族和环境危险因素均有关。

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