中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (6): 581-583.DOI: 10.11852/zgetbjzz2018-26-06-01

• 专家笔谈 •    下一篇

男童小阴茎的诊断与治疗

肖延风, 尹春燕   

  1. 西安交通大学第二附属医院儿童病院小儿内科,陕西 西安 710004
  • 收稿日期:2018-05-09 发布日期:2018-06-10 出版日期:2018-06-10
  • 作者简介:肖延风(1960-),女,教授,博士生导师,研究方向为小儿内分泌,生长发育相关疾病。
  • 基金资助:
    国家自然科学基金(81673187);陕西省科技攻关项目(2016SF-201)

Diagnosis and treatment of micropenis in boys

XIAO Yan-feng, YIN Chun-yan   

  1. Department of Pediatrics, The Second Affiliated Hospital of Xi′an Jiaotong University, Xi′an, Shaanxi 710004, China
  • Received:2018-05-09 Online:2018-06-10 Published:2018-06-10

摘要: 小阴茎是基于正确测量长度基础上的一种医学诊断,是指具有正常的内部和外部男性生殖器的情况下,阴茎伸展长度低于相同年龄或相同性发育状态人群平均值2.5个标准差以上者。小阴茎诊断目前缺乏正常阴茎长度的参考值,导致临床诊断较为困难。小阴茎可能由多种原因引起,包括下丘脑-垂体-性腺轴的结构或激素缺陷。 也可以是许多先天综合征的组成部分。因此,对于病因评估,内分泌实验室检测都很重要。 本文重点介绍小阴茎的病因,诊断,治疗和管理。

关键词: 小阴茎, 病因, 诊断, 治疗

Abstract: Micropenis is a kind of medical diagnosis based on correct measurement of length. If stretched penile length is below the value corresponding to -2.5 standard deviation of the mean in a patient with normal internal and external male genitalia, a diagnosis of micropenis is considered. The current lack of reference values for the length of the penis has made clinical diagnosis more difficult. Micropenis can be caused by a variety of factors including structural or hormonal defects of the hypothalamic-pituitary-gonadal axis. It can also be a component of a number of congenital syndromes. For the etiological evaluation, endocrinologic tests are important. This article reviews the etiology, diagnosis, treatment and management of micropenis.

Key words: micropenis, etiology, diagnosis, treatment

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