期刊文献+

21-羟化酶缺乏致女性假两性畸形两姐妹的诊治

原文传递
导出
摘要 女性假两性畸形(female pseudohermaphroditism)是两性畸形的一种常见类型,患者具有正常女性的染色体核型(46,XX),体内仅有一种性腺——卵巢,而外生殖器、第二性征等却有男性表现,如阴蒂增大、大阴唇左右融合、有喉结和胡须等.女性假两性畸形产生的原因是患者自幼暴露于雄激素过多的环境,其中先天性肾上腺皮质增生特别是21-羟化酶(21-OHD)缺乏(可致体内合成雄激素增多),是主要的病因之一.本病临床并不罕见,但家族性少见.
出处 《中华医学杂志》 CAS CSCD 北大核心 2014年第33期2634-2635,共2页 National Medical Journal of China
  • 相关文献

参考文献7

  • 1Fotopoulou C, Sehouli J, Gehrmann N, et al. Functional and anatomic results of amnion vaginoplasty in young women with Mayer-Rokitansky-Ktister-Hanser syndrome [ J ]. Fertil Steril, 2010, 94:317-323.
  • 2Han TS, Walker BR, Arlt W, et al. Treatment and health outcomes in adults with congenital adrenal hyperplasia [ J ]. Nat Rev Endocrinol, 2014, 10 : 115-124.
  • 3Witchel SF. Management of CAH during pregnancy: optimizing outcomes[ J]. Curr Opin Endocrinol Diabetes Obes, 2012, 19: 489 -496.
  • 4徐珊,张聪,黄勇,唐达星,吴德华,李民驹,陈光杰,杨华军.21羟化酶缺乏致女性假两性畸形的治疗效果[J].中华泌尿外科杂志,2005,26(8):569-571. 被引量:4
  • 5Mulaikal RM, Migeon C J, Rock JA. Fertility rates in female patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency[ J]. N Engl J Med, 1987, 316:178-182.
  • 6Lo JC, Grumbach MM. Pregnancy outcomes in women with congenital virilizing adrenal hyperplasia [ J ]. Endocrinol Metab Clin North Am, 2001, 30:207-229.
  • 7卢琳,曾正陪,陆召麟,童安莉,陈适,王永慧,付春莉,陶红,张波.先天性肾上腺皮质增生症21羟化酶缺陷症合并妊娠的临床及生化特点[J].内科急危重症杂志,2010,16(1):13-16. 被引量:7

二级参考文献19

  • 1陶红,陆召麟,张波,王玥,孙梅励.在汉族雄激素过多症女性中筛查非经典型21-羟化酶缺乏症[J].中华内分泌代谢杂志,2005,21(5):405-408. 被引量:4
  • 2Mulaikal RM,Migeon C J,Rock J A.Fertility rates in female patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.N Engl J Med,1987,316:178.
  • 3Helleday J,Siwers B,Ritzen EM,et al.Subnormal androgen and elevated progesterone levels in women treated for congenital virilizing 21-hydroxylase deficiency.J Clin Endocrinol Metsb,1993,76:933.
  • 4Kuhnle U,Bullinger M,Schwarz HP.The quality of life in adult female patients with congenital adrenal hyperplasia:a comprehensive study of the impact of genital malformations and chronic disease on female patients life.Eur J Pediatr,1995,154:708.
  • 5Stikkelbroeck NM,Hermus AR,Braat DD,et al.Fertility in women with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.Obstet Gynecol surv,2003,58:275.
  • 6Casterás A,De Silva P,Rumsby G.Reassessing fecundity in women with classical congenital adrenal hyperplasia:normal pregnancy rate but reduced fertility rate.Clini Endocrinol,2009,70:833.
  • 7Mastorakos G,Ilias Ⅰ.Maternal and fetal hypothalamic-pituitary-adrenal axes during pregnancy and postpartum.Ann N Y Aead Sci,2003,997:136.
  • 8Kai H,Nose O,Iida Y,et al.Female pseudohermaphroditism caused by maternal congenital adrenal hyperplasia.J Pediatr,1979,95:418.
  • 9White PC.Speiser PW.Long-term consequences of childhoodonset congenital adrenal hyperplasia.Bast Practi Rea.Clini Endocrinol Metab,2002,16:273.
  • 10Hoepffner W,Schulze E,Bennek J,et al Pregnancies in patients with congenital adrenal hyperplasia with complete or almost complete impairment of 21-hydroxylase activity.Fertil Steril,2004,81:1314.

共引文献9

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部