真两性畸形是一种罕见的性别分化的异常,国内迄今报告约30例。现将我们近几年来在外检中遇到的三例报告如下: 例1、苏×、16岁,汉族。患者出生时外生殖器似女性,3岁时发现阴蒂突起增大如小阴茎,到医院检查疑为两性畸形,以后一直以男性生活,至15岁时双侧乳房发育并定期从尿道口流血,每月一次,持续2—3日,实为月经来潮,即改为女性装束。82年7月住院。患者女性外貌,喉结不凸,双侧乳房发育与同龄女性相似。乳晕及乳头较小。外生殖器:阴毛稀少、阴蒂肥大形如阴茎,长4Cm、其下方有一裂口,放入导尿管向前可入膀胱并排出尿液,向后放入10Cm即为盲端,两侧阴唇后方融合,腹股沟及阴唇未触及包块。17羟38.8mg,17酮9.3mg,染色体检查为46,××。临床诊断为假两性畸形。父母非近亲婚配,家族中无畸形 True hermaphroditism is a rare abnormality of sex differentiation, so far reported about 30 cases. Now we have encountered in the foreign inspection in recent years, three cases are reported as follows: Example 1, Su ×, 16 years old, Han nationality. Female genitalia at birth, female, 3 years old, found that the clitorocele increased as small penis, check to the hospital suspected of maternal deformity, has been to men after the birth to 15 years of bilateral breast development and regular bleeding from the urethra, each Once a month, for 2-3 days, it is menstrual cramps, that is, women’s dress. July 82 hospitalization. Patients with female appearance, Adam’s apple is not convex, bilateral breast development and women of similar age. Areola and nipple smaller. Genitalia: pubic hair scarce, clitoris hypertrophy, such as the penis, long 4Cm, there is a gap below, into the catheter forward into the bladder and urine, back into the 10Cm is the blind end, both sides of the labia fusion , Groin and labia without touching the mass. 17 hydroxy 38.8 mg, 17 ketone 9.3 mg, chromosomal examination 46, ××. Clinical diagnosis of false bisexual deformity. Parents non-relatives marriage, no deformity in the family