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      易性癖
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  transsexualism
    Laparoscopy in sex reassignment surgery for female-to-male transsexualism patients
    腹腔镜手术在女性易性癖患者性再赋手术中的应用价值
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    Methods We reviewed 31 cases which had received ileal colpopoiesis,including 25 cases of congenital absence of vagina and 6 cases of male-to-female transsex.
    方法回顾性分析31例腹腔镜下带血管蒂回肠移植阴道成型术患者的临床资料,其中先天性无阴道患者25例,易性癖患者6例。
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  transsexualism
Children may present with problems related to the parents transsexualism, or with more generalised difficulties secondary to break-up of the family.
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A girl with high functioning autism who developed transsexualism is described.
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The diagnosis of a coexisting psychiatric disorder in transsexualism has implications for the evaluation, prognosis, and appropriate management of the patient.
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The question of a possible relationship between autism and transsexualism and whether there is a predisposition to gender dysphoria in autism, is discussed.
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Sexual identity and its manifestations, again, enjoy protection under the right to private and family life, as has been shown by international case law related to homosexuality and transsexualism.
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         This article summarized 207 cases sexual differentiation abnormality and its ten eategries, e.g,true hermaphroditism 16.76%; female pseudo-hermaphroditism 15 .46%;male pseudo-hermaphroditism 13.5%;Turner' s syndrome 20 . 29%; Klinefelter's syndrome 11 .6%; 46, XX,gonadial agenesis 20.79%; 46, XY ronadal agenesis 5.3%; X or Y polysomia 3. 86%; mistake of sexualdiserimiration 1 . 45%; changing -sex paranoia 0 . 97%. In addition , it suggests the principles of diagnosis and treatment for sexual differentiatio...
            报道了207例性分化异常的10种类型,即真两性占16.76%,女假两性占15.46%,男假两性占13.5%,Turner征占20.29%,Klinefelter征占11.6%,46,XX性腺发育不全占20.79%,X或Y多体占3.86%,XY型性腺发育不全占5.3%,性别识别错误占1.45%,易性癖占0.97%。提出性别确认及处理原则,为8例患者更正了性别。
文摘来源
         Objective:To introduce the laparoscopic operation procedure for resection of internal genital organs of female and to analyze the application of laparoscopic method in sex reassignment surgery(SRS). Methods: Twenty-four transsexual ism patients had resection of female internal genital organs by laparoscopy from January 2000 to May 2003. During the laparoscopic procedure,the initial port was placed by improved open-method, hysterectomy and adnexectomy by routine method. Vagina wall was stripped by injection ...
            目的:介绍腹腔镜下女性内生殖器官全切除的手术方法,探讨腹腔镜手术在性再赋手术中的应用价值。方法:2000年1月至2004年5月因女变男易性癖行腹腔镜下女性内生殖器官全切除手术患者24例,腹腔镜手术应用改良的开放式穿刺进腹,常规镜下全子宫及双附件切除操作,注水分离阴道壁,钝、锐性剥离,切开子宫直肠陷凹达阴道直肠间隙,翻出子宫及附件,保留尿道下方部分阴道壁后,切除金子官、双附件及大部分阴道,封闭阴道穴腔。结果:24例患者均成功完成手术。手术平均时间为(91.3±17.2)min,出血量为(254.6±84.5)ml,腹部切口愈合时间为(3.4±0.7)d,进食时间为术后(12.2±11.8)h。其中有6例患者同期完成性再赋,余为2期手术完成。结论:用本方法进行女性易性癖患者腹腔镜下女性内生殖器官全切除手术,创伤小,术后恢复快,腹部切口瘢痕美观,有利于1期完成性再赋手术,有较大的应用价值。
文摘来源
         Objective To study the operative methods and clinical outcome of laparoscopic ileal colpopoiesis with long vascular pedicle.Methods We reviewed 31 cases which had received ileal colpopoiesis,including 25 cases of congenital absence of vagina and 6 cases of male-to-female transsex.All cases were operated on by laparoscopic(8 cases) and laparoscopy assisted(23 cases) ileal colpopoiesis.The postoperative results were analyzed through physical examination and interview regarding the patient′s functional status ...
            目的探讨腹腔镜下带血管蒂回肠移植阴道成型术的手术方法及其临床应用效果。方法回顾性分析31例腹腔镜下带血管蒂回肠移植阴道成型术患者的临床资料,其中先天性无阴道患者25例,易性癖患者6例。采用全腹腔镜下手术8例,腹腔镜辅助腹部小切口手术23例。结果31例手术均获得成功,术后随访3~13个月,有10例佩带阴道模具达8个月,人工阴道壁生长良好,基本具备女性阴道的形态和生理功能;有性生活者29例,均满意。手术并发症1例,为全腹腔镜下手术后的不完全性肠梗阻,经手术及对症处理治愈。结论腹腔镜下带血管蒂回肠移植阴道成型术创伤小、成型后的阴道外观美、符合阴道生理状态,该手术是目前较理想的阴道成型方法。术后需佩带阴道模具至少8个月,以防止阴道口狭窄。
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