性腺疾病及其诊断思路  

Diagnosis strategy of sexual disorders.

作　　者：郑郁[1] 母义明[1] 

机构地区：[1]解放军总医院内分泌科,北京100853

出　　处：《中国实用内科杂志》2011年第4期250-253,共4页Chinese Journal of Practical Internal Medicine

摘　　要：性腺是非常独特的人体组织器官,具有双向分化的潜能。在胚胎发育的任何时期或任何步骤出现异常,均可引起性分化或性发育异常疾病,常常表现为各性别属性的紊乱或缺陷,如核型和性染色体的异常、外生殖器辨认不清、多毛症和女性男性化等。这些表现常成为性腺疾病诊断的重要线索。故在诊断过程中应积极评估患者的染色体性别、性腺性别、生殖器性别、激素性别等一般情况,综合分析,以利于性腺疾病的快速、准确的诊断及鉴别诊断。Gonad is a very special human tissue and organ, which has bi-differentiation potential. Any abnor- mal in the periods of embryonic development will cause some disorders of sexual differentiation or development. They usually characterized by sexual disorder or defect, as abnormal of karyotFpe and sex chromosome, Ambiguous genitalia,hirsutism, masculine, etc. These usually become very important clues to the diagnosis of sexual disorders. So, we should evaluate the general conditions of the patients, such as chromosomal sex, gonadal sex, genital sex, hormonal sex, etc. And analyze them by synthesis is helpful for the rapid diagnosis and differential diagnosis of sexual disorders.

关 键 词：性腺疾病 性分化异常 外生殖器分辨不清 假两性畸形 多毛症 

分 类 号：R5[医药卫生—内科学]