目的了解柳州市城区男童生殖健康状况,为做好本地区儿童生殖健康教育提供更多的科学依据。方法采用分层整群抽样方法,在柳州市城区随机抽取5所小学、5所初中、4所高中,在学生体检过程中对男生进行外生殖器检查。结果共为1384名6～18岁男生进行生殖器疾病检查,查出外生殖器疾病前三位是包皮过长(25. 3%)、包茎(16. 3%)和包皮粘连(4. 0%)。包皮过长、包茎、包皮粘连的检出率随年龄增长而降低(χ²=74. 549、127. 973、18. 789,P <0. 001)。精索静脉曲张检出率随年龄增长呈上升趋势(χ²=14. 939,P=0. 001)。不同年龄段隐匿性阴茎检出率差异无统计学意义(χ²=4. 737,P>0. 05)。结论包皮过长和包茎是男童外生殖器的常见疾病,其他生殖器疾病也不容忽视,应加强医校合作,开展生殖健康保健工作及知识宣教,提高学生及其家长对生殖健康的认识。

Objective To study the status of reproductive health among male children,and to provide more scientific basis for children's reproductive health education in Liuzhou city. Methods A total of 1384 male children from 5 primary schools,5 junior high schools and 4 senior high schools were recruited and examined. Results Genital diseases examination was conducted in 1384 male children aged 6-18,the top three genital diseases were redundant prepuce( 25. 3%),phimosis( 16. 3%) and adherent prepuce( 4. 0%). The incidences of these three diseases decreased with the age( χ²= 74. 549,127. 973,18. 789,P < 0. 001),while the incidences of varicocele increased with age( χ²= 14. 939,P = 0. 001). There was no significant difference in concealed penis detection rate among different age groups( χ²= 4. 737,P > 0. 05). Conclusion Redundant prepuce and phimosis are common diseases among male children in Liuzhou city. Cooperation between schools and hospitals should be strengthened,in order to promote reproductive health education and service among children and adolescents.