摘要
目的探讨腹腔镜在儿童真两性畸形诊疗中的作用。方法2004~2006年在腹腔镜下诊治5例儿童真两性畸形。社会性别:男3例,女2例。染色体组型:46XX2例,46XY2例,45XO1例。性腺畸形:双侧型2例,单侧型2例,片侧型1例。3例选定作男性抚育者,腹腔镜下切除卵巢组织、子宫附件,隐睾下降固定,同期或二期尿道成形术;2例选定作女性抚育者,腹腔镜下切除睾丸组织或卵睾,同期行阴蒂成形。结果所有患儿术后无明显并发症,随访3~24个月,平均12个月,恢复良好,外观满意,保留性腺无恶变。结论腹腔镜在儿童真两性畸形的诊疗中可替代剖腹探查。
Objective To investigate the clinical value of laparoscopy for the diagnosis and treatment of true hermaphroditism in children. Methods From 2004 to 2006, 5 children with true hermaphroditism were diagnosed and treated by using laparoscopy. The gender of the children was male in 3, and female in 2. The karyotypes of the children included 2 cases of 46XX, 2 cases of 46 XY, and 1 case of 45XO. Gonadal biopsies showed bilateral ovotestis in 2 cases, ovary on one side and testis on the other in 2, and ovotestis...
出处
《中国微创外科杂志》
CSCD
2008年第2期162-163,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
真两性畸形
腹腔镜
儿童
True hermaphroditism
Laparoscopy
Children
