Guaschino S, Stola E, Spinillo A, Marchetti M, Aguzzi A
Institute of Obstetrics and Gynecology, School of Medicine, University of Pavia, Italy.
Clin Exp Obstet Gynecol. 1988;15(3):74-9.
We documented a new case of 46,XY true hermaphroditism in an 18-year-old patient, reared as a female at birth, with ambiguous genitalia and primary amenorrhea. At laparotomy, bilateral dysgenetic ovotestis containing gonadoblastoma were found. Karyotypes of peripheral lymphocytes and cells from tissue of both gonads were all 46,XY. Plastic surgery was conducted to transform ambiguous genitalia to the full female phenotype. Clitoreduction by glans resection and fastening of the corpora cavernosa in the labia major with enlargement of the vaginal orifice were performed. The results was a small eretcile organ with preserved sensitivity and a female capable of normal sexual activity.
我们记录了一例18岁46,XY真两性畸形的新病例，该患者出生时被当作女性抚养，存在生殖器模糊和原发性闭经。剖腹探查时，发现双侧发育不全的卵睾伴有性腺母细胞瘤。外周血淋巴细胞以及双侧性腺组织细胞的核型均为46,XY。进行了整形手术，将模糊的生殖器转变为完全女性表型。通过切除阴蒂头进行阴蒂缩小，并将阴茎海绵体固定于大阴唇，同时扩大阴道口。结果形成了一个具有保留感觉的小勃起器官，并且该女性能够进行正常的性活动。
