超声在两性畸形诊断中的应用价值  

Value of ultrasonography in the diagnosis of hermaphroditism

作　　者：余方芳[1] 周秀萍[1] 李崇寿[1] 何慧疗[1] 王亮[1] 潘尹[1] 林益怡[1] 黄福光[1] 李仲荣[2] 张海燕[3] 

机构地区：[1]温州医学院附属第二医院育英儿童医院超声科,325027 [2]温州医学院附属第二医院育英儿童医院小儿外科,325027 [3]温州医学院附属第二医院育英儿童医院病理科,325027

出　　处：《中华超声影像学杂志》2012年第10期880-883,共4页Chinese Journal of Ultrasonography

摘　　要：目的探讨超声在两性畸形诊断中的临床应用价值。方法回顾性分析了45例两性畸形患者的超声资料，并与临床资料进行对照。结果45例临床病理结果：真两性畸形5例（11．1％），男性假两性畸形14例（31．1％），女性假两性畸形24例（53．3％），性腺发育不全2例（4．4％）。超声诊断结果：真两性畸形4例，符合率80．0％；男性假两性畸形11例，符合率78．6％；女性假两性畸形20例，符合率83．3％；性腺发育不全1例，符合率50．0％。结论超声检查不仅可以显示内生殖器官的有无，而且可观察、评价其部位、大小、形态、结构等，为临床诊断和治疗提供重要的影像学依据。Objective To evaluate the clinical value of ultrasonography in the diagnosis of hermaphroditism. Methods Ultrasonographic appearances of 45 cases with hermaphroditism were reviewed retrospectively,and the results were compared with clinical data. Results All cases were confirmed pathologically. 5 cases showed true hermaphroditism （11.1 %）, 14 cases showed male pseudohermaphroditism （31. 1% ）, 24 cases showed female pseudohermaphroditism（53.3 %）, 2 cases showed gonadal dysgenesis （4. 4%）. Compared with pathological results in the ultrasound examination, 4 cases showed true hermaphroditism, the coincidence rate was 80%. 11 cases showed male pseudohermaphroditism,the coincidence rate was 78.6 %. 20 cases showed female pseudohermaphroditism, the coincidence rate was 83.3%. 1 cases showed gonadal dysgenesis, the coincidence rate was 50.0%. Conclusions Ultrasonography can estimate the site, size, morphology diagnosis and treatment. not only evaluate internal reproductive and structure, which provides important organs in the patients, but also imaging evidence for the clinicaldiagnosis and treatment.

关 键 词：超声检查 两性畸形 生殖器 

分 类 号：R445.1[医药卫生—影像医学与核医学]