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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 summarize the anatomy and function of various vaginoplasty patients in Mayer-Rokitansky-Küster-Hauser (MRKH) women. Methods Reviewing literatures at home and abroad in recent years, reviewing several anatomical morphological and functional features of vaginoplasty with more clinical application of MRKH. Results Most of the studies described anatomical features focused on the length and width of the neovagina. Some biopsies of the new vagina were histologically analyzed and the new vagina appeared to have undergone adaptive changes. For the evaluation of neovaginal sex function, most studies have chosen female sexual function index (FSFI). Reports on reproductive function are still rare. Conclusion There is no clear standard or unified consensus on the anatomy and postoperative function evaluation. How to rebuild the vagina should be combined with the patient’s situation, multidisciplinary teamwork, based on experience to make the most suitable choice.