Institute of Gynecology, Inc, 7001 Central Ave, St. Petersburg, FL 33710, USA.
Arch Gynecol Obstet. 2011 Sep;284(3):617-30. doi: 10.1007/s00404-011-1896-8. Epub 2011 Apr 11.
To conduct a methodological review of the existing scientific literature within the field of cosmetic gynecology in the view of evidence-based medicine and to establish their relevance to the ACOG Committee Opinion No. 378.
The appropriate medical subject heading terms were selected and applied in the search of the Internet multiple databases since 1900 until January 2010. Articles focusing on cosmetic gynecology were reviewed. Also, anecdotal and advertising literatures were analyzed. A methodological review of the literatures was conducted.
In peer review journals, 72 relevant articles related to cosmetic gynecology were identified. Anecdotal information was identified in 3 sources and over 1,100 published marketing literatures were identified on the Internet and no scientific journals. Among reviewed articles on cosmetic gynecology, only two articles met the level II-2 in evidence-based medicine. The absence of documentations on the safety and effectiveness of cosmetic vaginal procedures in the scientific literatures was ACOG's main concern.
Practicing cosmetic gynecology within ACOG recommendations is desirable and possible. Currently, the standard of practice of cosmetic gynecology cannot be determined due to the absence of the documentation on safety and effectiveness. Traditional gynecologic surgical procedures cannot be called cosmetic procedures, since it is a deceptive form of practice and marketing. Creating medical terminology trademarks and establishing a business model that tries to control clinical-scientific knowledge dissemination is unethical.
从循证医学的角度对美容妇科领域的现有科学文献进行方法学回顾，并确定其与 ACOG 委员会意见 No.378 的相关性。
选择适当的医学主题词，并自 1900 年至 2010 年 1 月在互联网多个数据库中进行搜索。对关注美容妇科的文章进行了回顾。此外，还对轶事和广告文献进行了分析。对文献进行了方法学回顾。
在同行评议期刊中，共确定了 72 篇与美容妇科相关的文章。在 3 个来源中发现了轶事信息，在互联网和非科学期刊上发现了超过 1100 篇已发表的营销文献。在回顾的美容妇科文章中，只有 2 篇符合循证医学 II-2 级标准。科学文献中缺乏关于美容阴道手术安全性和有效性的记录是 ACOG 主要关注的问题。
根据 ACOG 的建议，在美容妇科领域开展实践是可取且可行的。由于缺乏关于安全性和有效性的文件，目前无法确定美容妇科的实践标准。传统的妇科手术不能称为美容手术，因为这是一种欺骗性的实践和营销形式。创造医学术语商标和建立试图控制临床科学知识传播的商业模式是不道德的。
