摘要
目的总结先天性无阴道(Mayer-Rokitansky-Küster-Hauser,MRKH)女性其各种阴道成形术术后的解剖形态和功能。方法查阅近年国内外相关文献,对目前MRKH临床应用较多的几种阴道成形术术后的解剖形态和功能进行评述。结果大部分研究对解剖形态的描述集中在新阴道的长度与宽度,部分对新阴道的活检标本进行了组织学分析,新阴道似乎发生了适应性变化。对于新阴道性功能的评价绝大多数研究都选用了女性性功能指数(female sexual function index,FSFI)。涉及生殖功能的报道目前还很少。结论对于解剖形态及术后功能的评价目前缺乏一个明确的标准或统一的共识。采用何种方法重建阴道应结合患者的情况,多学科团队合作,根据经验做出最适合的选择。
Objective To review anatomic and functional results after vaginoplasty in women with Mayer - Rokitansky- Ktister- Hauser （MRKH） syndrome. Methods Recent studies on anatomic and functional results after vaginoplasty in women with MRKH syndrome were reviewed and summarized. Results Anatomical results in most of the research limited on length and width of the neovagina. The histological analysis of neovagina biopsy specimen showed that the neovagina seemed to have adaptive changes. Female sexual function index （FSFI） was adopted to evaluate the sex function of the neovagina in most research. Few study metioned reproductive function after vaginoplasty. Conclusion A clear standard or consensus is still lacked for evaluating postoperative anatomical morphology and function. The surgical option basically depends on cooperation between multiple disciplines and the experience of the surgical team according to the condition of patients.
出处
《中国计划生育和妇产科》
2013年第5期5-8,共4页
Chinese Journal of Family Planning & Gynecotokology
