中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

性腺发育异常患者的生育问题

  

  1. 中山大学附属第一医院妇产科生殖医学中心,广东广州 510080
  • 出版日期:2018-04-02 发布日期:2018-04-02
  • 通讯作者: 徐艳文

Fertility in patients with disorders of gonadal dysgenesis

  1. Center for Reproductive Medicine,Department of Gynecology & Obstetrics,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China
  • Online:2018-04-02 Published:2018-04-02

摘要:

性腺发育异常是指患者性腺性别异常的一类先天性疾病。现代诊疗多采用激素补充和手术治疗,可有效促进性腺发育异常患者内外生殖器的发育,维持激素平衡,并预防肿瘤发生。在对性腺发育异常患者进行管理的过程中,需对患者的生殖潜力予以考虑。尽管大部分性腺发育异常患者合并不孕,但辅助生殖技术为性腺发育异常患者提供了供卵、体外受精-胚胎移植等多种治疗选择。性腺发育异常患者可通过个体化的治疗成功妊娠并分娩正常胎儿,获得良好的母婴结局,实现生育愿望。文章着重就性腺发育异常患者的生殖潜力及生育问题的治疗进行阐述。

关键词: 性腺发育异常, 生育, 妊娠

Abstract:

Gonadal dysgenesis is defined as congenital condition in which the development of gonadal sex is atypical.Modern medical techniques including hormone supplement therapy or surgery are very effective in promoting the development of internal and external genitalia,maintaining hormone balance and preventing tumor in gonadal dysgenesis patients.Fertility potential is one of the issues that should be considered when addressing management of individuals with gonadal dysgenesis.Although a majority of the gonadal dysgenesis patients suffer from infertility,assisted reproductive technology including oocyte donation and in vitro fertilization and embryo transfer could be helpful for them.Patients with gonadal dysgenesis could expect successful pregnancy and perinatal outcome by individualized treatments.This paper reviews the reproductive potential of gonadal dysgenesis patients and the progress in infertility treatment for them.

Key words: gonadal dysgenesis, fertility, pregnancy

中图分类号: