Christensen Bruce W
Department of Veterinary Clinical Sciences, Iowa State University, 1600 South 16th Street, Ames, IA 50011, USA.
Vet Clin North Am Small Anim Pract. 2012 May;42(3):515-26, vi. doi: 10.1016/j.cvsm.2012.01.008. Epub 2012 Mar 3.
Determination of a mammal’s sex begins at conception with the establishment of genotype and continues from there as the expression of specific genes directs the bipotential gonad to develop. The gonad further directs the sexual differentiation of the individual. Deviations from either of these pathways at any stage results in disorders of sexual development. Definitive diagnosis minimally requires a karyotype, histopathologic evaluation of the gonads, and gross description of the genital anatomy, with more complete diagnostic answers achieved through other diagnostic tests. This article covers normal and abnormal development of the reproductive organs with emphasis on diagnosis and treatment.
哺乳动物性别的确定始于受孕时基因型的建立,并从那时起随着特定基因的表达引导双潜能性腺发育而持续进行。性腺进一步指导个体的性别分化。在任何阶段偏离这些途径中的任何一条都会导致性发育障碍。明确诊断至少需要进行核型分析、性腺的组织病理学评估以及外生殖器解剖结构的大体描述,通过其他诊断测试可获得更完整的诊断答案。本文涵盖生殖器官的正常和异常发育,重点是诊断和治疗。