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目的:了解18 245例病残儿童中泌尿生殖系统出生缺陷种类的发病情况,为预防泌尿生殖系统先天畸形的发生提供科学依据。方法:采取区县初筛、市级终局鉴定,按ICD-10规定分类统计分析。结果:病残儿鉴定总数为18 245例,其中泌尿生殖系统出生缺陷20种,畸形683例占3.74%;前六位疾病以多基因遗传病睾丸下降不全居多为245例占1.34%,尿道下裂为122例占0.67%。非遗传性疾病,男性睾丸发育不良、小阴茎畸形97例占0.53%,女性卵巢、输卵管发育畸形56例占0.31%,肾发育不良42例占0.23%,先天性肾积水占0.20%。结论:需重视对病残儿童泌尿生殖系统中出生缺陷的监测,强化防治措施和遗传检查,科学进行优生指导,降低泌尿生殖系统先天畸形的发生率。
OBJECTIVE: To understand the incidence of genital defects in genitourinary system among 18 245 disabled children and to provide a scientific basis for the prevention of congenital malformations of urogenital system. Methods: Take the district screening, municipal final appraisal, according to ICD-10 classification statistics. Results: The total number of disabled children was 18,245, including 20 kinds of birth defects in genitourinary system and 683 cases of deformities, accounting for 3.74%. The first six diseases were polygenic degenerative testes with 245 cases (1.34%), the lower urethra Crack in 122 cases accounted for 0.67%. Non-genetic diseases, male testicular dysplasia, 97 cases of small penile deformity accounted for 0.53%, female ovarian, tubal deformity 56 cases accounted for 0.31%, renal dysplasia 42 cases accounted for 0.23%, congenital hydronephrosis 0.20%. Conclusion: It is necessary to pay attention to the monitoring of birth defects in the genitourinary system of sick and disabled children, to strengthen prevention and control measures and genetic tests, to guide scientificly the eugenics, and to reduce the incidence of genitourinary system congenital malformations.