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对生殖器模糊婴儿的评估及手术治疗原则。

Evaluation of the infant who has ambiguous genitalia, and principles of operative management.

作者信息

Donahoe P K, Schnitzer J J

机构信息

Pediatric Surgical Services, Massachusetts General Hospital, Boston, MA 02114, USA.

出版信息

Semin Pediatr Surg. 1996 Feb;5(1):30-40.

PMID:8988295
Abstract

Infants and children with ambiguous genitalia pose challenging diagnostic and therapeutic issues for the clinician. Success depends on rapid and precise diagnosis, appropriate gender assignment, proper medical therapy, and meticulous surgical technique. A well-trained multispecialty clinical team is essential. The major disease categories include chromosomal abnormalities, excessive androgen syndromes, and deficient androgen syndromes. The specific diseases involved are described in this article, as well as the diagnostic and therapeutic considerations for each.

摘要

生殖器模糊不清的婴幼儿给临床医生带来了具有挑战性的诊断和治疗问题。成功取决于快速准确的诊断、恰当的性别指定、合理的药物治疗以及精湛的手术技巧。一支训练有素的多专业临床团队至关重要。主要疾病类别包括染色体异常、雄激素过多综合征和雄激素缺乏综合征。本文描述了所涉及的具体疾病以及针对每种疾病的诊断和治疗考量。

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