新生儿包皮环切术适宜尺寸的 Plastibell 的人体测量学预测指标。

Anthropometric Predictors of Appropriate-Sized Plastibell for Neonatal Circumcision.

机构信息

Department of Surgery, Nnamdi Azikiwe University Awka.

Paediatric Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.

出版信息

Ethiop J Health Sci. 2023 Jul;33(4):689-694. doi: 10.4314/ejhs.v33i4.15.

DOI:10.4314/ejhs.v33i4.15

PMID:38784201

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11111189/

Abstract

BACKGROUND

Using anthropometric parameters to determine the appropriate Plastibell size before circumcision ensures that cumbersome carrying of all the sizes before each procedure is eliminated and also complications reduced.

METHODS

Male neonates who presented for routine circumcision by Plastibell method were recruited. Collected on a proforma were their age in days, weight in Kg, stretched penile length (SPL) in cm, penile diameter (PD) in cm and the Plastibell size used by the "circumciser". The routine circumcision was carried out for each neonate according to protocol. P value was set at <0.05.

RESULTS

There were 231 neonates who had Plastibell circumcision. Their mean age, weight, SPL and PD were 15.6(±5.73) days, 3.7(±0.58) Kg, 3.66 (±0.58) cm and 3.79 (±0.64) cm, respectively. Plastibell size 1.3 is the most used (53.6%). There was a positive correlation between weight, SPL, PD, on one hand and Plastibell size , on the other hand with P-values of <0.001, <0.001 and <0.001 respectively. The weight was a weak determinant for Plastibell sizes 1.1 and 1.3: (OR 7.104; 95% CI 1.108 - 45.559; P = .039) and (OR 2.044; 95% CI 1.054 - 3.963; P = .034) respectively. The SPL is also a weak predictor for Plastibell sizes 1.2 and 1.5: (OR 2.176; 95% CI 1.136 -4.136; P = .019) and (OR .043; 95% CI .072 - .984; P = .047), respectively.

CONCLUSION

The anthropometric parameters correlate well with Plastibell sizes. However, they are not effective in predicting the appropriate sized Plastibell for neonatal circumcision.

摘要

背景

在施行环扎术前使用人体测量参数来确定合适的 Plastibell 尺寸，不仅可以避免繁琐地携带所有尺寸，还可以减少并发症。

方法

我们招募了前来接受 Plastibell 法常规包皮环切术的男性新生儿。收集的数据包括年龄（以天计）、体重（以千克计）、阴茎伸展长度（SPL，以厘米计）、阴茎直径（PD，以厘米计）和“环切师”使用的 Plastibell 尺寸。按照方案对每位新生儿进行常规包皮环切术。P 值设定为<0.05。

结果

共有 231 名新生儿接受了 Plastibell 环切术。他们的平均年龄、体重、SPL 和 PD 分别为 15.6（±5.73）天、3.7（±0.58）千克、3.66（±0.58）厘米和 3.79（±0.64）厘米。最常使用的是 1.3 号 Plastibell（53.6%）。体重、SPL、PD 与 Plastibell 尺寸之间存在正相关关系，P 值均<0.001。体重是 1.1 号和 1.3 号 Plastibell 尺寸的弱决定因素：（OR 7.104；95%CI 1.108-45.559；P=0.039）和（OR 2.044；95%CI 1.054-3.963；P=0.034）。SPL 也是 1.2 号和 1.5 号 Plastibell 尺寸的弱预测因子：（OR 2.176；95%CI 1.136-4.136；P=0.019）和（OR 0.043；95%CI 0.072-0.984；P=0.047）。