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真两性畸形诊断治疗的探讨 被引量:5

Diagnosis and treatment of true hermaphroditism:a report of 3 cases and a review of literature
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摘要 目的探讨真两性畸形的早期正确诊断与合理治疗。方法介绍3例真两性畸形早期不适当的诊断治疗给患者遗留了精神创伤和生活问题及后期的准确诊断与合理治疗。结果 3例患者按社会性别成为男性1名、女性2名,解除了他(她)们长期的精神负担,且效果良好。结论真两性畸形是一种较少见的性分化异常,根据病理及临床表现早期作出正确诊断,并进行合理的性别选择及手术治疗,对患者形成正常的性心理和社会生活至关重要。 Objective This paper evaluates the importance of early diagnosis and systemic treat- ment of true hermaphroditism.Methods Three patients with true hermaphroditism,because of inaccurate diagnosis and improper treatment at their early ages,were put in a dilemma when they grew up.After cor- rect diagnosis,they accepted sex determinative operations according to their selective gender role.Results Through plastic operations,the three patients turned to be a male and two females,with their long time depression being released.Conclusion True hermaphroditism is a rare deformity of ambiguous genitalia characterised by the presence of both ovarian and testicular tissues in the same individual.It is a key point for the patient to form normal sex psyche and adapt society through early precise diagnosis,appropriate gender option and successful operation according to clinical appearances and tissue pathological examina- tion.
出处 《中华整形烧伤外科杂志》 CAS CSCD 北大核心 1999年第2期129-131,162,共3页
关键词 真两性畸形 诊断 治疗 True hermaphroditism Diagnosis Treatment
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同被引文献24

  • 1陈镘如,李福平,徐克惠.两性畸形40例的临床分析[J].四川医学,2004,25(11):1177-1179. 被引量:6
  • 2梁华茂,韩劲松.女性两性畸形的诊治[J].中国实用妇科与产科杂志,2005,21(8):455-457. 被引量:8
  • 3周羡梅.假两性畸形的遗传致病基础[J].中国实用妇科与产科杂志,1995,11(1):19-20. 被引量:5
  • 4张勇,张亚林.儿童和少年情绪障碍相关社会心理因素探讨[J].医学与哲学(A),2006,27(6):72-74. 被引量:6
  • 5梁晓琴,唐胜建,苗春雷,牟少春.易性癖诊治前后的几点思考[J].医学与哲学(A),2007,28(8):45-46. 被引量:5
  • 6FERGUSON - SMITH MA. X - Y chromosomal interchange in the aetiology of true hermaphroditism and of XX Klinefelter: syndrome [J]. Lancet,1966,2(7461 ) :475 -476.
  • 7BERKOVITZ GD,FECHNER PY, MARCANTONIO SM,et al. The role of the sex - determining region of the Y chromosome ( SRY ) in the etiology of 46, XX true hermaphroditism [ J ]. Hum Genet, 1992,88(4) :411 -416.
  • 8MCELREAVEY K, RAPPAPORT R, VILAIN E, et al. A minority of 46, XX true hermaphrodites are positive for the Y - DNA sequence including SRY[ J ]. Hum Genet, 1992,90 ( 1/2 ) : 121 - 125.
  • 9MCELREAVEY K, VILAIN E, ABBAS N, et al. A regulatory cascade hypothesis for mammalian sex determination: SRY represses a negative regulator of male development [ J ]. Proc Natl Acad Sci USA, 1993,90 (8) :3368 - 3372.
  • 10范小玲 周瑞锦 姬彤宇.真两性畸形的诊断与治疗(附11例报告).中华泌尿外科杂志,1999,20(12):755-755.

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