小儿性别畸形37例分析  被引量:1

Sexual Abnormalities in Children:a Report of 37 Cases

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作  者:章希圣[1] 陈美章[1] 

机构地区:[1]浙江医科大学附属儿童医院外科,杭州310003

出  处:《中华小儿外科杂志》1997年第5期282-284,共3页Chinese Journal of Pediatric Surgery

摘  要:目的:探讨小儿性别畸形的特点、诊断及治疗。方法:通过性染色体、尿17-羟类固醇及17-酮类固醇、选择性尿道或尿生殖窦造影、性腺活检,对1984~1995年收治37例性别畸形病例回顾性分析。结果:37例分成四类:女性假两性畸形17例、男性假两性畸形13例、真两性畸形3例、混合性腺发育不全2例。另有 Turner 综合征1例、Klinefelter 综合征1例。结论:不能单凭外生殖器的形态或性染色体来诊断性别畸形;早期诊断、早期治疗具有重要意义。Objective:To study the characteristics,diagnosis and treatment for sexual abnor- malities in children.Methods:Thirty-seven children with sexual abnormalities were admitted from 1984 to 1995.They were assessed retrospectively by karorype,urinary 17-ketosteroids and 17-hydroxycorticosteroids,retrograde genitogram,laparoscopy and gonadal biopsy.Results: They were classitied into four groups:female pseudohermaphroditism(17),male pseudo- hermaphroditism(13),mixed gonadal dysgenesis(2),true hermaphroditism(3),Klinefelter syn- drome(1)and Turner syndrome(1).Conclusions:The authors recommend an early diagnostic modality and consider the sexual abnormalities should not be diagnosed only on the appearance of ambiguous genitalis or karyotype.An early diagnosis and treatment are very important to children with sexual abnormalities.

关 键 词:两性畸形 性染色体 儿童 诊断 

分 类 号:R726.2[医药卫生—儿科]

 

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