在过去的30年里,产前诊断的性别发育差异增加,淋巴切除术率下降
Amit Eben Chaime1, Moshe Phillip1,2, David Ben-Meir1,3
1The Jesse Z and Sara Lea Shafer Institute for Endocrinology and Diabetes, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.
Acta paediatrica (Oslo, Norway : 1992)
|February 14, 2025
概括
对性别发育差异 (DSD) 的临床护理已经发展,产前诊断增加,淋巴切除和性别调整率降低. 这反映了对儿童DSD的早期个性化多学科护理的转变.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 遗传学 是一个遗传学.
- 生殖医学 生殖医学
背景情况:
- 对性别发育差异 (DSD) 的治疗方法在过去几十年中发生了重大变化.
- 了解临床诊断和管理的演变对于改善患者护理至关重要.
研究的目的:
- 描述儿童性别发育差异 (DSD) 的临床诊断和管理的演变.
- 为了比较DSD诊断和治疗在2006年实施共识指南之前和之后的情况.
主要方法:
- 追溯观察性研究设计.
- 在DSD共识指南引入之前 (1990-2006) 和之后 (2007-2019) 的患者数据的比较.
- 分析诊断类别,呈现时的年龄和管理干预措施,包括淋巴切除术和性别调整.
主要成果:
- 该队列包括87例 (46,XY),15例 (46,XX) 和9例性别染色体DSD病例.
- 在指南发布后,产前诊断率显著增加,从4.5%增加到25.4%.
- 在晚期,淋巴切除术 (19.4%对40.9%) 和性别调整 (1.5%对13.6%) 的发生率有所下降.
结论:
- 这项研究强调了对DDS的早期,个性化和多学科护理的趋势.
- 先进的诊断技术促进了DSD管理中的这些变化.
- 护理的进化反映了对性别发育差异的更细致的方法.
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