福州市儿童医院的医生最近连续接诊了两名“阴阳人”，分别是1周岁和6个月大的小宝宝。两人的外生殖器都长相怪异，看起来“不男不女”。其中一个小宝宝上周接受了手术，确定是一名患了假两性畸形的女孩儿。另一个宝宝14日刚刚入院，要作进一步检查以及手术后，才能确定他(她)的性别。

Fuzhou children's hospital doctor recently continuous accepts two"hermaphrodite",Respectively is 1 one full year of life and 6 months old baby.Two people's genitalia are looks weird,looks"Don't male not female".One of the baby underwent surgery last week,Sure is a had pseudohermaphroditism girl.Another baby 14 just to the hospital,Have a further check and surgery,To be sure he(she)gender.

　案例一：长着“小鸡鸡” 实为女生 Case a:has"Chicken chicken" Girl is

　　福州市儿童医院副院长、儿外科主任林芃介绍，上周接受手术的小宝宝圆圆(化名)一周岁多。圆圆长了一个形状怪异的“阴茎”，尿道口在这个“阴茎”的末端，尿尿时与一般男孩无异，家人都以为圆圆是个男孩，只是外生殖器怎么看怎么别扭，于是送到医院检查。

Fuzhou, vice President of the children's hospital/Son surgical director LinPeng is introduced,Last week surgery baby menu(alias)More than one one full year of life.Circle circle long a shapeless"penis",Urethral orifice in this"penis"At the end of the,The boy with general pee,Family thought menu is a boy,Just genitalia look how weird,So to the hospital inspection.

　　经过腹腔镜检查，医生发现，圆圆虽然有类似阴茎的器官，体内却有子宫、卵巢、阴道等一整套完整的女性器官，缺少男性器官;而且激素和染色体检查也显示圆圆是个女孩。于是医生确定，圆圆是个假两性畸形者，是一种名为“肾上腺皮质增生症”的疾病导致她出现假两性畸形。

After laparoscopic,Doctors found,Although there are similar menu penis organ,The body is a uterus/ovarian/Vaginal and a set of complete female organ,The lack of male organ;And hormone and chromosome check also display menu is a girl.So the doctor determine,Menu is a pseudohermaphroditism person,Is a name"Adrenal cortex hyperplasia disease"The disease causes she appeared pseudohermaphroditism.

　　所谓假两性畸形，是指患者体内实际只有男性或女性一种性腺。但是具有男性性腺者，其外生殖器的外观却是女性特征;具有女性性腺者，其外生殖器的外观却是男性特征，因而出现貌似女性实为男性，或貌似男性实为女性的假两性人。假两性人实际上是一性人，只是由于生殖器官外观呈异性特征，导致表里不一。

The so-called pseudohermaphroditism,Refers to the actual sufferers only male or female a gland.But have male gonad person,The genitalia appearance is female characteristic;Women who have sex gland,The genitalia appearance is male characteristics,Thus appear seemingly women as men,As men or women actually false ambivalent.False hermaphrodite is actually a sex people,Just because of the appearance of the reproductive organs opposite characteristics,Cause duplicity.

　　林芃主任为圆圆实施了阴蒂成形术、小阴唇成形术、阴道整形术等一系列两性畸形整形手术，重塑了圆圆的尿道口和阴道口，让圆圆能像正常女孩一样生活。

LinPeng director for round implement the clitoris angioplasty/Labia minora angioplasty/Vaginal orthopaedics and a series of hermaphroditism plastic surgery,To reshape the round urethral orifice and the vaginal opening,Let the menu can be like normal girl life.

　案例二：乍看像女生 还待进一步检查 Case two:At first glance like girls a further check

　　14日入院的“阴阳人”宝宝彬彬(化名)只有6个月大。林芃发现，彬彬的外阴部看起来更加怪异，乍看之下像个女孩，可是仔细一看，阴蒂的部分特别大，像个小小的阴茎。而且医生还在彬彬的外阴部一侧摸到了类似阴囊、睾丸的器官。染色体检查显示，彬彬是女性。但医生说，彬彬还要接受腹腔镜检查，才能确定其体内是否同时具有男、女两套生殖器官。如果彬彬体内只有女性生殖器官，就能确定她是女孩，如果同时具备两套器官，则可能是一名非常罕见的真两性畸形婴儿，届时需要通过手术保留其中一套器官，然后才能确定其性别。

14 the admission"hermaphrodite"Baby carry(alias)Only 6 months.LinPeng found,Carry the genitals looks more strange,At first glance like a girl,But a closer look,Part of the special big clitoris,Like a small penis.And the doctor still carry the genitals side reached similar scrotum/Testicular organs.Chromosome tests show,Carry are women.But doctors say,Carry will accept laparoscopy,To determine whether the body at the same time with male/Two sets of female reproductive organs.If you carry the body only female reproductive organs,Can sure she is a girl,If you also have two sets of organs,May is a very rare true hermaphroditism baby,When need an operation to keep one set of organs,And then to determine the gender.

　　关于彬彬的性别之谜，本报记者将继续关注。

Carry on the mystery of the gender,Our reporter will continue to focus on.

　提醒：外阴部异常要及早就医 remind:Genital abnormalities will go to a doctor as soon as possible

　　林芃主任提醒，肾上腺皮质增生症、垂体肿瘤等都会引发两性畸形。家长一旦发现宝宝的外阴部有异常，要及早就医。此类两性畸形整形手术最好在一周岁以前完成，否则随着年龄的增长，这些“阴阳人”的性腺可能出现恶变;再者，两性模糊的外观，也会影响他们的心理健康。

LinPeng director reminded,Adrenal cortex hyperplasia disease/Pituitary tumor can cause hermaphroditism.Once parents find baby's genitalia have abnormal,Want to go to a doctor as soon as possible.This kind of hermaphroditism plastic surgery in the best finish one one full year of life,Otherwise, as the growth of the age,these"hermaphrodite"The gonadal possible progression;moreover,Amphoteric fuzzy appearance,Also can affect their psychological health.

　相关链接 Relevant link

　　成因复杂 出生前难发现两性畸形 Hard to find complex causes birth gender deformity

　　两性畸形是由于胚胎发育期分化异常导致性别畸形，一般根据性染色体、梁色质、性腺及外生殖器的不一致，可分为男性假两性畸形、女性假两性畸形和真两性畸形。

Hermaphroditism is due to abnormal embryogenesis differentiation sex deformity,General according to sex chromosome/Beam color quality/Gonad and genitalia is not the same,Can be divided into male pseudohermaphroditism/Female pseudohermaphroditism and true hermaphroditism.

　　福建省立医院妇产科主任医师杨茵告诉记者，胎儿出现两性畸形的原因很复杂，与激素、酶等物质的异常变化有关，目前医学界还没有明确结论。由于目前的产前筛查不包含针对胎儿两性畸形的检查项目，而且两性畸形的情况有很多种，不易查，所以这种问题很难在孩子出生前发现。(记者 王杨林)

Fujian province made hospital department of gynaecology and obstetrics chief physician YangYin told reporters,In the cause of the fetus gender deformity is very complicated,And hormone/Enzyme and other material abnormalities associated with changes,The medical profession is not a clear conclusion.As a result of current prenatal screening for fetal do not contain hermaphroditism inspection project,And hermaphroditism situation has a lot of kinds,Is not easy to find,So the problem is difficult to found the child was born.(Reporter WangYangLin)