药物性女性假两性畸形矫治13例分析

目的: 探讨药物性女性假两性畸形的手术方法。方法: 根据患者外阴畸形的不同,分别采用阴蒂成形术、大小阴唇成形术、尿道延长术与阴道下段成形术,再造女性外阴。结果: 13例矫治患者手术均获成功,恢复女阴外观;阴道可容两指,尿道外口位置恢复正常,已婚者婚后性生活满意。结论: 根据外阴畸形的特征,设计不同的矫治方法,可最大限度利用了自身组织,使矫形后外阴更趋于女性的解剖和生理功能。

Correction for female pseudohermaphroditism in 13 patients caused by extraneous androgen

Objective:To explore operative methods for female pseudohermaphroditism caused by extraneous androgen.Methods:According to characteristics of vuval malformation,plastic operation of clitoris,greater and smaller lips of pudendum,prolonged urethra and lower segmental vagina were performed respectively and female vulva was restored.Results:Operations on 13 patients were all successful.Female vulva was recovered.Vagina could hold two fingers.External open position of urethra was normal.Sexual life was satisfactory after marriage.Conclusions:Various corrections were designed according to characteristics of vuval malformation.Autografts are fully used to make the anatomical structure and physiological functions tend to be normal after correction.