Aygün A D, Akarsu S, Güvenç H, Kocabay K
Department of Pediatrics, Firat University Faculty of Medicine, Elazig, Turkey.
J Adolesc Health. 1998 Jul;23(1):55-7. doi: 10.1016/s1054-139x(97)00272-3.
The nipple and areola diameter of 498 girls aged 8-17 years were studied with the aim of finding measurable criteria for sexual maturation, including breast and pubic hair development during female puberty. All measurements were made holding a transparent ruler on both sides by the same observer. The smaller of the two measurements was used in the analysis. Significantly nipple and areola development occurred between breast stages B1 (2.56 and 14.35 mm), B2 (3.32 and 20.26 mm), B3 (5.21 and 28.84 mm), and B4 (6.28 and 32.03 mm). The nipple and areola diameter were also significantly greater in pubic hair stage (PH)3 (5.05 and 25.24 mm) with respect to PH2 and PH1 (3.46, 2.62 mm and 19.32, 15.37 mm, respectively), in PH5 (6.79 and 35.62 mm) with respect to PH4 (6.55 and 32.56 mm). A significant increase in nipple and areola diameter occurs between premenarchal girls and girls older than 0-2 years postmenarche. Sexual maturation staging by nipple size and by areola size appears to be feasible for female adolescent. However, staging by nipple size does not appear to be feasible for B4 and B5 stage, because the incremental gradations are small.
对498名8至17岁女孩的乳头和乳晕直径进行了研究，目的是找到性成熟的可测量标准，包括女性青春期乳房和阴毛的发育情况。所有测量均由同一名观察者在两侧用透明尺子进行。分析中使用两个测量值中较小的那个。在乳房分期B1（2.56和14.35毫米）、B2（3.32和20.26毫米）、B3（5.21和28.84毫米）和B4（6.28和32.03毫米）之间，乳头和乳晕有显著发育。与阴毛分期PH2和PH1（分别为3.46、2.62毫米和19.32、15.37毫米）相比，阴毛分期PH3（5.05和25.24毫米）时，乳头和乳晕直径也显著更大；与阴毛分期PH4（6.55和32.56毫米）相比，阴毛分期PH5（6.79和35.62毫米）时，乳头和乳晕直径也显著更大。月经初潮前女孩与月经初潮后0至2岁以上女孩相比，乳头和乳晕直径有显著增加。通过乳头大小和乳晕大小进行性成熟分期对于女性青少年似乎是可行的。然而，对于B4和B5期，通过乳头大小进行分期似乎不可行，因为增量分级很小。
