目的探讨贺州市初中男性青少年生殖健康现状和生殖健康疾病的手术情况,为进一步做好贺州市初中男性青少年生殖健康教育工作和疾病筛查提供科学依据。方法对2019~2020年贺州市三县两区的1 217名初中男性青少年进行外生殖器检查并询问其生殖健康相关疾病手术情况。结果1 217名初中男性青少年中,影响男性生殖健康疾病检出率为31.08%,疾病的手术率为15.25%。包皮过长或包茎319人,行包皮环切术41人;隐匿性阴茎18人,行阴茎整形术3人;尿道下裂5人,行尿道下裂整形术5人;隐睾4人,行睾丸下降固定术3人;精索静脉曲张38人,行精索静脉结扎手术1人;睾丸鞘膜积液11人,行睾丸鞘膜翻转手术8人。结论贺州市初中男性青少年生殖健康疾病患病率较高,但手术率偏低,建议学校和有关卫生部门加强初中男性青少年生殖健康咨询与宣教工作,在初中青少年健康体检项目中增加男性生殖健康疾病筛查,通过对男性生殖健康疾病的早诊断、早治疗,提高贺州市初中男性青少年生殖健康水平。
ObjectiveTo explore the reproductive health status of male adolescents in junior middle school in Hezhou and the surgical situation of reproductive health diseases, so as to provide scientific basis for further reproductive health education and disease screening for male adolescents from junior middle school in Hezhou. MethodsFrom 2019 to 2020, a total of 1 217 male adolescents from junior middle school in three counties and two districts of Hezhou were examined for external genitalia and asked about their surgical situations related to reproductive health. ResultsAmong 1 217 male adolescents in junior middle school, the detection rate of diseases affecting male reproductive health reached 31.08%, and the operation rate was 15.25%. In 319 cases of redundant prepuce or phimosis, 41 cases underwent redundant circumcision. In 18 cases of concealed penis, 3 cases underwent penis plastic surgery. In 5 cases of hypospadias, 3 cases underwent hypospadias plastic surgery. In 4 cases of cryptorchidism, 3 cases underwent testicular descent and fixation. In 38 cases with varicocele, and 1 cases underwent spermatic vein ligation. In 11 cases of testicular hydrocele, 8 cases underwent testicular tunica vaginalis eversion. ConclusionThe prevalence rate of male adolescents′ reproductive health diseases from junior middle school in Hezhou is high, but the operation rate is low. It is recommended that schools and relevant health departments should strengthen the reproductive health consultation and education of male adolescents in junior middle school, add male reproductive health diseases screening in junior high school physical examination items, and improve the reproductive health level of male adolescents from junior middle school in Hezhou through early diagnosis and treatment of male reproductive health diseases.