大阴唇增大术：文献系统评价
Labia Majora Augmentation: A Systematic Review of the Literature.
作者信息
Jabbour Samer, Kechichian Elio, Hersant Barbara, Levan Philippe, El Hachem Lena, Noel Warren, Nasr Marwan
机构信息
Department of Plastic and Reconstructive Surgery, Saint-Joseph Hospital, Paris, France. Department of Dermatology, Faculty of Medicine Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon. Department of Plastic, Reconstructive, and Maxillofacial Surgery, Henri Mondor, Creteil, France. Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon. Department of Plastic and Reconstructive Surgery, Faculty of Medicine Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon.
出版信息
Aesthet Surg J. 2017 Oct 16;37(10):1157-1164. doi: 10.1093/asj/sjx056.
BACKGROUND
Currently, there is no standardized approach for labia majora augmentation and controversies still exist regarding this subject.
OBJECTIVES
This systematic review aimed to assess the evidence in the literature regarding labia majora augmentation.
METHODS
On November 20, 2016, we conducted an online search of published articles in the Medline, Embase, and Cochrane databases. All articles describing labia majora augmentation were included in this review.
RESULTS
Nine studies were selected for inclusion in the systematic review. Only 2 studies were prospective trials. The most commonly used technique was fat grafting with a total of 4 articles and 183 patients. The mean total injected fat volume ranged from 18 mL to 120 mL per session. Two articles described hyaluronic acid injection techniques. The total injected volume of hyaluronic acid ranged from 2 to 6 mL per session. Three articles used surgical techniques for labia majora augmentation. All included articles did not report any major or life-threatening complications. All techniques demonstrated high satisfaction rates.
CONCLUSIONS
Labia majora augmentation appears to be a safe, efficient technique with a high satisfaction rate and no reported major complications. However, further randomized controlled trials are warranted.
LEVEL OF EVIDENCE
背景
目前，大阴唇增大术尚无标准化方法，关于该主题仍存在争议。
目的
本系统评价旨在评估文献中有关大阴唇增大术的证据。
方法
2016年11月20日，我们对Medline、Embase和Cochrane数据库中发表的文章进行了在线检索。所有描述大阴唇增大术的文章均纳入本评价。
结果
9项研究被选入系统评价。只有2项研究为前瞻性试验。最常用的技术是脂肪移植，共有4篇文章和183例患者。每次手术平均注入的脂肪总量为18毫升至120毫升。2篇文章描述了透明质酸注射技术。每次手术透明质酸的总注射量为2至6毫升。3篇文章采用手术技术进行大阴唇增大术。所有纳入的文章均未报告任何严重或危及生命的并发症。所有技术均显示出高满意率。
结论
大阴唇增大术似乎是一种安全、有效的技术，满意率高，且未报告严重并发症。然而，有必要进行进一步的随机对照试验。
证据级别
4级。
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