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Experience of Laparoscopic Exploration and Gonadectomy in lntersex Children

机译：Intersex儿童腹腔镜探查和性腺切除术的体会

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The use of laparoscopic technique to diagnose and treat intersex children is graduallyintroduced in clinical urology. From 1985 to 1996, abdominal exploration and gonadectomywere performed in 11 intersex children together with urogenital endoscopy andgenitoplastic surgery in our institutes. Their median age was 6.0 (range 0–15) years oldand initial gender sex was female in 8 and male in 3. The initial 4 cases (group 1)underwent open abdominal exploration together with gonadectomy, while the latter 7cases (group 2) underwent laparoscopic exploration simultaneously with 3 laparoscopicgonadectomy and 1 open one via a inguinal incision. Their final diagnoses were malepseudohermaphroditism in 4 cases, mixed gonadal dysgenesis in 3, true hermaphroditismin 2, XX gonadal dysgenesis in 1, and XY gonadal dysgenesis in 1. Consequently, 2 ofinitial male were reared as a female. Operation time, use of analgesics, postoperativehospital stay and postoperative complications were not significantly different between thetwo groups, however, postoperative abdominal wound appearance was more acceptablein group 2. The most significant advantage of laparoscopic surgery in intersex childrenis cosmetic appearance especially when social gender is determined as female irrespectivetypes of intersexuality.
机译：在临床泌尿科中逐渐引入了腹腔镜技术来诊断和治疗双性恋儿童。 1985年至1996年，在我们的研究所对11名性交儿童进行了腹部探查和性腺切除术，并进行了泌尿生殖器内窥镜检查和生殖器官整形手术。他们的中位年龄为6.0岁（0-15岁），最初的性别是女性，其中8位是女性，3位是男性。最初的4例（第1组）接受了开放性腹部探查并进行了性腺切除术，而后7例（第2组）进行了腹腔镜探查同时进行3例腹腔镜性腺切除术和1例经腹股沟切口打开1例。他们的最终诊断为4例为男性假性雌雄同体异型，3例为混合性腺发育不良，1例为真正的雌雄同体性生殖不良，2例为XX性腺发育异常，1例为XY性腺发育不良。两组的手术时间，使用止痛药，术后住院时间和术后并发症的发生率无显着差异，但是在第二组中，腹部伤口的出现更容易接受。两性儿童的腹腔镜手术最大的优势是外观美观，尤其是在确定了社会性别时作为女性无性恋类型。

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