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新生儿(孕36 - 42周)阴囊高位附着、鞘膜积液及睾丸可动的发生率。

The prevalence of high insertion of scrotum, hydrocele and mobile testis in the newborn infant (36-42 weeks gestation).

作者信息

Ben-Ari J, Merlob P, Mimouni F, Rosen O, Reisner S H

机构信息

Department of Neonatology, Beilinson Medical Center, Petah Tiqva, Israel.

出版信息

Eur J Pediatr. 1989 Apr;148(6):563-4. doi: 10.1007/BF00441559.

DOI:10.1007/BF00441559
PMID:2787247
Abstract

The prevalence of some minor abnormalities of the male genitalia was studied in 271 boys born over a period of 2 months. The scrotal insertion on the ventral side of the penis was determined in an objective manner by measuring the ratio of the ventral and dorsal length of the unstretched penis. A scrotal insertion ratio of less than 0.48 defined high insertion of the scrotum which was found in 2.7% of our newborn infants. This anatomical finding has an important clinical significance for the performance of early circumcision. The prevalence of hydrocele in all male newborn infants was 57.9%. Extravaginal (communicating) type was present in 86% of all infants, intravaginal (noncommunicating) in 9.5%, while both types of hydrocele in the same neonate was observed in 4.5%. The relatively high frequency of mobile testes (22%) is of interest. The natural history of this entity is not fully understood and the question of follow-up remains open.

摘要

对271名在2个月内出生的男童的男性生殖器一些轻微异常的患病率进行了研究。通过测量未拉伸阴茎腹侧和背侧的长度之比,以客观方式确定阴囊在阴茎腹侧的附着情况。阴囊附着比例小于0.48被定义为阴囊高位附着,在我们的新生儿中占2.7%。这一解剖学发现对早期包皮环切术的实施具有重要的临床意义。所有男性新生儿鞘膜积液的患病率为57.9%。所有婴儿中86%为鞘膜外(交通性)类型,9.5%为鞘膜内(非交通性)类型,4.5%的新生儿同时存在两种类型的鞘膜积液。可移动睾丸的相对高发生率(22%)值得关注。该实体的自然病史尚未完全了解,随访问题仍未解决。

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Decision making in the management of hydroceles in infants and children.婴儿和儿童鞘膜积液治疗管理中的决策。

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