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比较单纯阴蒂切除术和保留血管神经的阴蒂成形术治疗 ２１羟化酶缺乏患者外阴男 性化畸形对婚姻、生育及性生活的效果。对 ２１羟化酶缺乏所致外阴男性化畸形患者共 ３２ 例。其中行单纯阴蒂切除术 １７ 例，坚持随访者 １６ 例；行保留血管神经的阴蒂成形术 １５ 例，坚持随访者 ８ 例。以信件、电话及门诊就诊等方式随诊。结果：阴蒂切除术组随诊 １６ 例中结婚 １２ 例，妊娠 ５ 例，生育 ４ 例。阴蒂成形术组随诊 ８ 例，其中结婚 ７ 例，妊娠 ５ 例，生育 ３ 例。阴蒂成形术组 ４ 例回答性生活十分满意，而阴蒂切除术组无一例回答这一问题。结论：阴蒂成形术保留了阴蒂的血液供应和神经支配，保留了阴蒂的性功能，明显提高了患者的性生活质量。
Comparison of simple clitoris excision and preservation of vascular nerve clitoroplasty in the treatment of 21-hydroxylase deficiency genital male malformation effect on marriage, childbirth and sexual life. A total of 32 cases of genital male malformations caused by 21-hydroxylase deficiency. Among them, 17 cases were performed with simple clitoridectomy, 16 cases were followed up, 15 cases were treated with clitoris preservation of vascular nerves, and 8 cases were followed up. To letters, telephone and outpatient visits and other means of follow-up. Results: In the clitoridectomy group, 12 cases were married in 16 cases, 5 cases were pregnant and 4 cases were fertile. There were 8 cases followed up in clitoroplasty group, including 7 cases of marriage, 5 cases of pregnancy and 3 cases of childbirth. In the clitoris formation group, 4 patients were satisfied with their sexual life, and none of the clitoris patients answered this question. CONCLUSION: Clitoplasty retains the blood supply and innervation of the clitoris, retains the clitoral sexual function and significantly improves the quality of life of the patients.