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真两性畸形的报道中,明确为46,XX/47,XXY嵌合型者不多见。现将我院收治的一例报告如下。病历摘要患者26岁,社会性别男,出生时外生殖器阴蒂大如阴茎而按男性抚养。12岁乳房开始发育,并逐年丰满,13岁时阴蒂长大,15岁左右曾有右下腹不规则疼痛,起因不明,其后月经初潮,周期、经期正常,但量少约10ml左右,平时有少量白带。成年后对男、女性均无异性爱慕心理。既往体健,无烟酒嗜好,智力尚佳,对答流畅,但性格孤僻,偶脾气暴躁。父母非近亲婚配,三代中无类似现象,受孕时父47岁,母31岁,正常分娩。四兄妹健在,已婚者生育正常。
True amphipodal deformity in the report, clearly 46, XX / 47, XXY chimeric rare. Now a hospital admitted to our hospital as follows. Patient 26 years old, gender male, genital clitoris at birth as large as the penis and male dependents. 12-year-old breast began to develop, and full year by year, clitoris grew up at age 13, 15-year-old there was irregular right lower quadrant pain, the cause is unknown, followed by menarche, periodic, menstrual normal, but less about 10ml, usually A small amount of leucorrhea. Adulthood of men and women are no heterosexual psychological love. Past physical health, non-smoking alcohol hobby, intelligence is good, smooth response, but isolated, even temper. Parents of non-relatives of marriage, no similar phenomenon in the third generation, when pregnant 47-year-old mother, mother 31 years old, normal childbirth. Four brothers and sisters alive, married normal childbearing.