阴蒂肿大的诊断与治疗

Clitoromegaly diagnosis and treatment

阴蒂病变依据其病因可分为激素相关性与激素非相关性,起病可能是先天性,也可能是后天获得性。阴蒂肿大是临床上阴蒂病变最为重要的病变形式。激素相关性阴蒂肿大主要由高雄激素血症引起,激素非相关性阴蒂肿大的最常见病因为神经纤维瘤。涉及阴蒂的疾病复杂多样,临床表现各异,诊断困难,文献可见各种引起阴蒂肿大的散发病例报道,但缺乏对该病变的诊断与治疗的系统阐述。本文通过对这类疾病进行分类与总结,为临床医生对疑似病例的诊治提供帮助,避免误诊与漏诊。

Clitoris lesion is most readily classified into hormone-dependent and hormone-independent cause.It can also be characterized as congenital or acquired nature.Clitoromegaly is the most common presentation of clitoral lesions clinically.Hormone-dependent clitoromegaly is mainly attibuted to the increase of androgen,while the most comomon cause of hormone-independent clitoromegaly is neurofibromatosis.Except that,there are so many other disorders which can cause clitoromegaly,leading to the difficulty for diagnosis.However,the literature concerning the management of clitoromegaly is scarce.The present study summarized the lesions of clitoromegaly from the etiology,diagnosis,and differential diagnosis to treatment.This may help clinicians to make a reasonbale management when facing this kind of disease.