Trakya Üniversitesi Hastanesi Çocuk Cerrahisi Kliniğine başvuran çocuklarda pemoskrotal anatominin özellikleri ve anomalileri
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Dosyalar
Tarih
2014
Yazarlar
Dergi Başlığı
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Yayıncı
Trakya Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada Çocuk cerrahisi kliniğine başvuran olguların penoskrotal anatomileri incelendi. Çalışmaya alınan 733 olgu kliniğe başvuru şikayetine göre penoskrotal bölge anatomisini ilgilendiren şikayetle başvuranlar ve bölge anatomisi ile ilgili olmayan şikayetle başvuranlar olarak gruplandırıldı. Olguların penoskrotal bölge anatomilerinin özellikleri, anomalilerin sıklığı, gerilmiş penis boyu, kumpas ile testis hacimleri ölçümü yapıldı. Testis hacimleri volüm = uzunluk x genişlik² x 0,71 formülü ile hesaplandı. Penoskrotal anatomi ile ilgili anomalilerin birbirleriyle ilişkisi ve birlikteliği incelendi. En sık birliktelik %69 ile hipospadias ve penil kordi arasında saptandı. Gruplar arasında karşılaştırmada independent samples test ve Mann Whitney U testinden uygun olanı kullanıldı. Gruplar arasında kategorik verilerin karşılaştırılmasında Ki-Kare testlerinden Pearson kullanıldı. Penoskratol bölge ile ilgili şikayet ile başvuran olgular grubunda; %31.5 inguinal herni, %25,7 inmemiş testis, %20,2 hidrosel, olguda %19,6 retraktil testis ve %17,7 hipospadias ile karşılaşıldı. İnmemiş testis, inguinal herni ve hidrosel olgularının doğum haftaları ve doğum tartılarının kontrol grubuna göre daha düşük olduğu görüldü (p<0.001). Gebelikte maternal sigara kullanımı ile inguinal herni sıklığı arasında ilişki saptandı (p<0.001). Gömük penis sıklığı ile vücut kitle endeksi arasında ilişki saptandı(p<0.001). Penoskrotal bölge ile ilgili olmayan şikayet ile başvuran olgu grubunda ise en sık karşılaşılan anomaliler; retraktil testis %9,4, fimozis %3,2, hidrosel %2,7, hipospadias %2.5, inmemiş testis %2.5 ve inguinal herni %1,2 olarak sıralandı. Penoskrotal anatomi ile ilgili anomalilere ait bulguların en sık hasta yakınları tarafından fark edildiği görüldü. Anomalinin hekim tarafından fark edilmesi durumunda tedavi için cerrahi kliniğe başvuru süresinin uzadığı anlaşıldı. Penoskrotal bölge anomalileri ile ilgili daha geniş popülasyon ile çalışma yapılması gerektiği kanaatindeyiz.
Abstract
This study examined penoscrotal anatomy of patients admitted to the pediatric surgery clinic. Penoscrotal of anatomy according to the complaints received 733 clinical cases in the study were classified as those applied to applicants concerning the complaint and the complaint is not related to topography. Penoscrotal of anatomical characteristics of the patients, the frequency of anomalies, stretched penile length, testicular volume was measured with calipers. Testicular volume was calculated using the formula volume = length x 0.71 x genişlik². Anomalies associated with penoscrotal anatomy was examined and unity with each other. The most frequent association was found between 69% and penile hypospadias and chordee. Comparison between groups in independent samples test and the Mann-Whitney U test was used with the appropriate. Pearson Chi-square tests were used for the comparison of categorical data between groups. In the group of patients who presented with complaints about the area penoscrotal; 31.5% of inguinal hernia, 25.7% of undescended testes, 20.2% of hydrocele, testis retractile 19.6% of cases and 17.7% faced with hypospadias. Undescended testes, the inguinal hernia and hydrocele cases of gestational age and birth weight were found to be lower than the control group (p<0.001). Maternal smoking during pregnancy was associated incidence of inguinal hernia (p<0.001). A correlation was found between frequency of buried penis with a body mass index (p<0.001). In patients who present with complaints of penoscrotal not related to the most common abnormalities; retractile testis 9.4%, 3.2% phimosis, hydrocele 2.7%, 2.5% hypospadias, undescended testes and inguinal hernia was listed as 2.5% and 1.2%. By relatives of patients with the most common signs of abnormalities related to anatomy penoscrotal showed noticeable. If they are recognized by the physician's anomaly was found to extend the application period of the surgical clinic for treatment. We believe that work should be done with the wider population about the penoscrotal of anomalies.
Abstract
This study examined penoscrotal anatomy of patients admitted to the pediatric surgery clinic. Penoscrotal of anatomy according to the complaints received 733 clinical cases in the study were classified as those applied to applicants concerning the complaint and the complaint is not related to topography. Penoscrotal of anatomical characteristics of the patients, the frequency of anomalies, stretched penile length, testicular volume was measured with calipers. Testicular volume was calculated using the formula volume = length x 0.71 x genişlik². Anomalies associated with penoscrotal anatomy was examined and unity with each other. The most frequent association was found between 69% and penile hypospadias and chordee. Comparison between groups in independent samples test and the Mann-Whitney U test was used with the appropriate. Pearson Chi-square tests were used for the comparison of categorical data between groups. In the group of patients who presented with complaints about the area penoscrotal; 31.5% of inguinal hernia, 25.7% of undescended testes, 20.2% of hydrocele, testis retractile 19.6% of cases and 17.7% faced with hypospadias. Undescended testes, the inguinal hernia and hydrocele cases of gestational age and birth weight were found to be lower than the control group (p<0.001). Maternal smoking during pregnancy was associated incidence of inguinal hernia (p<0.001). A correlation was found between frequency of buried penis with a body mass index (p<0.001). In patients who present with complaints of penoscrotal not related to the most common abnormalities; retractile testis 9.4%, 3.2% phimosis, hydrocele 2.7%, 2.5% hypospadias, undescended testes and inguinal hernia was listed as 2.5% and 1.2%. By relatives of patients with the most common signs of abnormalities related to anatomy penoscrotal showed noticeable. If they are recognized by the physician's anomaly was found to extend the application period of the surgical clinic for treatment. We believe that work should be done with the wider population about the penoscrotal of anomalies.
Açıklama
Tıpta Uzmanlık Tezi
Anahtar Kelimeler
Dış Genital Organ, Penis Uzunluğu, Çocuk, Erkek, Anomali, Anomaly, Penis Length, External Genitalia, Child, Prevalence, Male
