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真两性畸形很少见,是由于受精卵在细胞分裂过程中基因突变致性染色体异常引起.我院收治两例,均经染色体核型分析,手术探查及病理检查证实.报告如下:例1 社会性别女,7岁,因外阴畸形就诊.阴蒂肥大,3.5×1.0cm,可勃起.尿道与阴道分别开口,阴道口狭小.右侧大阴唇饱满,似阴囊.左侧是腹股沟疝.周围血染色体培养为46,xx.术中发现,盆腔两侧均有输卵管及性腺,还有一发育不良的子宫.进行疝修补,切除左侧性腺,做病理检查,报告为卵睾.考虑其父母意愿及原社会性别,切除肥大的阴蒂,修复成近于正常的女性外生殖器.
True hermaphroditism rare, is due to fertilized eggs in the cell division process caused by genetic mutations caused by chromosomal abnormalities in our hospital admitted to two cases, both by karyotype analysis, surgical exploration and pathological examination confirmed. Female, 7 years old, due to genital malformation. Clitoral hypertrophy, 3.5 × 1.0cm, erectile. Urethra and vagina were open, vaginal mouth narrow .It is full of right labia majora, like the scrotum .Is the left side of the inguinal hernia .Colors around the blood Cultured for 46, xx. Intraoperative findings, both the pelvis have tubal and gonads, as well as a dysplastic uterus. Hernia repair, removal of the left gonadal, pathological examination, reported as egg test. Consider the wishes of their parents and the original Gender, removal of hypertrophic clitoris, repair into nearly normal female genitalia.