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睾丸女性化综合征是罕见的男性假两性畸形。我院于1984年1月收治一例,报告如下: 患者,社会性别,“女”,32岁,已婚,出生后即发现双侧腹股沟肿物,近五年来左侧肿物增大,轻度触痛。患者原发性闭经,但自17岁开始出现规律性鼻出血,每月一次,持续2～3天。有女性习惯,善于料理家务。九年前因无月经到某医院检查发现“无子宫”。七年前结婚,能进行性生活,但性欲较差,无生育。患者姐妹及母系、父系中均无同病患者。查体:血压16/10.7KPa(120/80mmHg),体重44Kg,身高160cm,指间距162cm。神志清晰,智力发育正常,瘦弱,女性体态,腋毛、阴毛缺如。左腹股沟部肿物为6×5×5cm,上部囊性感,透光试验(+),下部实性感,表面光滑,轻压痛,活动差。右腹股沟部肿物约4×3×3cm,腹内压增高时肿物增大。呈女性
Testicular feminization syndrome is a rare male pseudohermaphroditism. In our hospital in January 1984 admitted to a case, the report is as follows: Patient, gender, “female”, 32 years old, married, found after birth bilateral inguinal masses, the left side of the past five years, tumor enlargement, mild tenderness. Patients with primary amenorrhea, but since the age of 17 began regular nosebleeds once a month for 2 to 3 days. Have a female habit, good at cooking housework. Nine years ago because no menstruation to a hospital examination found “no uterus.” Married seven years ago, can have sex, but less sex, no childbirth. Patient sisters and matrilineal, paternal no common disease patients. Physical examination: blood pressure 16 / 10.7KPa (120 / 80mmHg), weight 44Kg, height 160cm, finger spacing 162cm. Consciousness, mental development normal, emaciated, female body, armpit hair, pubic hair missing. Left groin mass was 6 × 5 × 5cm, upper cystic, translucent test (+), the lower part of the real sense of the surface smooth, mild tenderness, poor activity. Right groin tumor about 4 × 3 × 3cm, increased intra-abdominal pressure tumor mass increases. Female