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性别确认性阴道造形术后的阴道狭窄:一个系统性审查
Paige De Rosa1, Marissa Kent2, Matt Regan3
1University of Iowa Hospitals and Clinics, Department of Urology, Iowa City, IA.
Urology
|February 16, 2024
概括
阴道狭窄 (VS) 在5.83%的阴道整形患者中发生,比以前报告的更低. 阴茎倒置阴道整形有5.70%的VS率,而肠道阴道整形有0.20%的VS率.
科学领域:
- 重建性手术是一种重建性手术.
- 妇科瘤学 妇科瘤学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 阴道狭窄 (VS) 是阴道整形术后的一个潜在并发症.
- 准确的发病率对于患者咨询和手术技术的改进至关重要.
研究的目的:
- 系统地审查和报告初级阴道整形术后阴道狭窄 (VS) 的发生率.
- 根据手术技术和随访时间来比较VS发病率.
主要方法:
- 根据PRISMA指南进行了系统的文献审查.
- 在主要数据库 (PubMed,Embase,Scopus,Cochrane) 进行了搜索,截至2022年9月.
- 有59项涉及7338名受试者的研究符合初级阴道整形手术的纳入标准.
主要成果:
- VS的总体发病率为5.83%,低于之前报告的.
- 阴茎逆转阴道整形 (PIV) 的VS率为5.70%,而初级肠道阴道整形的率为0.20%.
- VS,内腔狭窄 (IS) 和收缩的联合发病率为9.68%.
结论:
- 总体VS率为5.83%,低于此前记录的水平,这可能是由于最近的数据和对初级程序的关注.
- 在PIV和肠道组中,类似的IS率可能与线和扩张需求有关.
- 为了提高报告准确性,需要对VS进行标准化定义.
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