假两性畸形诊断与治疗特点分析(附15例报告)

Clinical diagnosis and therapeutic characteristics analysis of the pseudohermaphroditism (report of 15 cases)

目的探讨假两性畸形的临床诊断及治疗特点。方法对2002年7月至2008年4月本院收治的15例男性、女性假两性畸形的诊断及治疗进行回顾性研究。结果 15例患者中,13例为男性假两性畸形,2例为女性假两性畸形。男性假两性畸形中3例术后生理性别为男性,1例放弃矫形治疗,9例术后为女性,终生雌激素维持性征;女性假两性畸形2例均行手术治疗,术后恢复均良好。结论在病因诊断基础上,结合患者社会性别、手术条件、患者及家属意愿等情况,因人施治,可取得最佳治疗效果。

Objective Toanalyzethechinicaldiagnosisandtherapeuticcharacteristicsofthepseudohermaphroditism. Methods Diagnosis and therapy of 15 cases male and female pseudohermaphroditism of our hospital from July 2002- April 2008 were retrospectively analyzed. Results Of the 15 cases, 13 cases were male patients of pseudohermaphroditism and 2 cases were female patients with pseudohermaphroditism. After operation, The sex of 4 cases was remained male; 9 case were female who needed estrogen to maintain sexual characteristics in all lives, l case refused operation. Both the 2 female pseudohermaphroditisms received operation and got a good recovery. Conclusion On the basis of etiological diagnosis and combined with patient gender and operative condition, the best outcome might be gotten under individually treatment.