CAJ | 학술논문

目的探讨两性畸形的外生殖器整形方法 .方法回顾193例两性畸形的外科治疗资料.结果 193例均住院治疗;年龄2～38岁,平均15岁;社会性别:男:65;女:128.女性假两性畸形73例,男性假两性畸形80例,真两性畸形25例,性腺发育不全15例.分别对138例行选择女性性别的外阴整形术,术后女性外观均满意,无尿失禁及排尿困难,术后需定期行阴道扩张29例(其中阴道成形术后6例),随访观察阴道发育情况79例,30例因阴道发育好不需再行外科矫正;对35例行选择男性性别的外阴整形术,术后阴茎平均长度4.3cm,尿道均开口于阴茎头,3例因尿瘘再行手术修补,4例因尿道狭窄行定期扩张术;20例因外生殖器完全呈女性发育未行手术.结论两性畸形性别的选择要根据患者意愿、心理性别、优势性腺和外生殖器发育情况慎重选择,通过成功的外生殖器整形可让患者身心更适应正常的社会生活.
목적 탐토량성기형적외생식기정형방법 .방법 회고193례량성기형적외과치료자료.결과 193례균주원치료;년령2～38세,평균15세;사회성별:남:65;녀:128.녀성가량성기형73례,남성가량성기형80례,진량성기형25례,성선발육불전15례.분별대138례행선택녀성성별적외음정형술,술후녀성외관균만의,무뇨실금급배뇨곤난,술후수정기행음도확장29례(기중음도성형술후6례),수방관찰음도발육정황79례,30례인음도발육호불수재행외과교정;대35례행선택남성성별적외음정형술,술후음경평균장도4.3cm,뇨도균개구우음경두,3례인뇨루재행수술수보,4례인뇨도협착행정기확장술;20례인외생식기완전정녀성발육미행수술.결론 량성기형성별적선택요근거환자의원、심이성별、우세성선화외생식기발육정황신중선택,통과성공적외생식기정형가양환자신심경괄응정상적사회생활.
Objective　To explore the related issues of external genital plastic surgery in hermaphroditism.Methods　The data of 193 cases of hermaphroditism who were hospitalized in our department were reviewed and analyzed to summarize our experience of the external genital plastic surgery.Results　From March 2005 to December 2009,the medical records and data of follow up of 193 hermaphroditism patients with age ranging from 2 to 38(mean 15 years old) were retrospectively analyzed.Among the 193 patients,73 were female pseudohermaphroditism,80 male pseudohermaphroditism,25 true hermaphroditism,and the other 15 gonadal dysgenesis.128 patients were reared as female and 65 male.138 cases accepted the external genital plastic surgery of female gender.Both the patients and parents were satisfied with the male aedea appearance without enuresis and dysuresia.29 patients were performed colpectasia regularly (6 patients were performed colpoplasty),79 were follow-up,30 were not performed colpoplasty.35 cases accepted the external genital plastic surgery of male gender.The average length of penis was 4.3cm and the urethral orifice was at the balanus after operation.3 cases were performed repairing because of urinary fistula and 4 were performed urethral sounding due to urethral stricture.20 patients were not performed any surgical operation at all.Conclusions　It is critical to have a comprehensive consideration including choice of patients and parents of which,dominance gonad,psychological sex and the situation of aedea for the gender selection of hermaphroditism patients.The successful external genital plastic surgery was important to adapt the society for hermaphroditism patients.