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什么是外阴?

What is a vulva?

机构信息

Department of Pathology, Anatomy, and Laboratory Medicine (PALM), West Virginia University School of Medicine, Morgantown, WV, 26506, USA.

出版信息

Anat Sci Int. 2022 Sep;97(4):323-346. doi: 10.1007/s12565-022-00674-7. Epub 2022 Jun 15.

DOI:10.1007/s12565-022-00674-7
PMID:35704265
Abstract

What exactly is a vulva? The question remains unresolved. Some sources consider the clitoris, labia, mons pubis, perineum, or vagina to be components of the vulva, while other sources do not. Indeed, disagreement exists among international anatomical and clinical societies with regard to what precise structures form the human vulva. The obfuscation regarding the anatomy of the vulva and, likewise, inconsistencies in vulva-related anatomical terminology have adversely affected communication, research, and healthcare. Therefore, this review was undertaken to provide a comprehensive and critical analysis regarding the past, present, and potential future of vulvar anatomy and vulva-related anatomical terminology. The review reveals that confusion regarding the specific gross anatomical structures that form the vulva has persisted for thousands of years. The review provides novel information regarding the etymology of vulva, contributes important historical context regarding vulva, and gives details regarding related anatomical terminology including clitoris, hymen, labia majora, labia minora, mons pubis, pudendum, pudendum femininum/muliebre, uterus, vagina, et cetera. The review highlights disagreement regarding what specific structures comprise a vulva, identifies sexual bias in anatomical terminology and among noteworthy anatomical resources, and offers novel perspectives regarding anatomical terminology-especially anatomical terminology that relates to the external genitalia. What specific anatomical structures comprise the vulva? This review provides a comprehensive and critical analysis regarding the past, present, and potential future of vulvar anatomy and vulva-related anatomical terminology.

摘要

外阴究竟是什么?这个问题仍未得到解决。一些来源认为阴蒂、阴唇、阴阜、会阴或阴道是外阴的组成部分,而其他来源则不这样认为。事实上,国际解剖学和临床学会在哪些确切的结构构成人类外阴方面存在分歧。外阴解剖结构的混淆,以及外阴相关解剖学术语的不一致,对外阴解剖结构的混淆,以及外阴相关解剖学术语的不一致,对外阴解剖结构的混淆,以及外阴相关解剖学术语的不一致,对沟通、研究和医疗保健产生了不利影响。因此,本综述旨在对外阴解剖学和外阴相关解剖学术语的过去、现在和潜在未来进行全面和批判性分析。综述表明,关于形成外阴的特定大体解剖结构的具体内容已经存在了数千年的困惑。该综述提供了有关外阴词源的新信息,为外阴提供了重要的历史背景,并详细介绍了相关解剖学术语,包括阴蒂、处女膜、大阴唇、小阴唇、阴阜、外阴、女性外阴/女性外阴、子宫、阴道等。综述强调了对于哪些特定结构构成外阴存在分歧,指出了解剖学术语中的性偏见,以及在重要的解剖学资源中存在的性偏见,并对外科术语提出了新的观点,尤其是与外生殖器相关的解剖学术语。外阴具体由哪些解剖结构组成?本综述对外阴解剖学和外阴相关解剖学术语的过去、现在和潜在未来进行了全面和批判性分析。

相似文献

1
What is a vulva?什么是外阴?
Anat Sci Int. 2022 Sep;97(4):323-346. doi: 10.1007/s12565-022-00674-7. Epub 2022 Jun 15.
2
The pudendum and the perversion of anatomical terminology.阴部与解剖学术语的反常。
Clin Anat. 2021 Jul;34(5):721-725. doi: 10.1002/ca.23706. Epub 2021 Jan 6.
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Anatomy of the Vulva and the Female Sexual Response.外阴解剖与女性性反应
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Anatomy, Abdomen and Pelvis: Female External Genitalia解剖学,腹部和骨盆:女性外生殖器
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Anatomy of genital reaffirmation surgery (male-to-female): Vaginoplasty using penile skin graft with scrotal flaps.生殖器重建手术(男性变女性)的解剖学:使用带阴囊皮瓣的阴茎皮肤移植进行阴道成形术。
Clin Anat. 2018 Mar;31(2):140-144. doi: 10.1002/ca.23015. Epub 2017 Dec 28.
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Recommended standardized anatomic terminology of the posterior female pelvis and vulva based on a structured medical literature review.基于系统医学文献回顾的女性骨盆后区及外阴推荐标准化解剖学术语。
Am J Obstet Gynecol. 2021 Aug;225(2):169.e1-169.e16. doi: 10.1016/j.ajog.2021.02.033. Epub 2021 Mar 9.
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The anatomy of the distal vagina: towards unity.阴道远端的解剖结构:走向统一。
J Sex Med. 2008 Aug;5(8):1883-91. doi: 10.1111/j.1743-6109.2008.00875.x. Epub 2008 Jun 28.
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Embryology and anatomy of the vulva: the female orgasm and women's sexual health.外阴的胚胎学和解剖学:女性性高潮与女性性健康。
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[The pelvic diaphragm, clitoris and vaginal vestibule of the bitch. I. The pelvic diaphragm. 2. The clitoris and vaginal vestibule].[母犬的盆底、阴蒂和阴道前庭。I. 盆底。2. 阴蒂和阴道前庭]
Anat Anz. 1970;127(1):76-125.

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The coronation of the clitoris: formally introducing the corona of the glans clitoris.阴蒂冠的加冕:正式引入阴蒂头冠状物。
Anat Sci Int. 2024 Sep;99(4):492-499. doi: 10.1007/s12565-024-00782-6. Epub 2024 Jun 11.
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Anatomy of the clitoris: the corona of the glans clitoris, clitoral coronal papillae, and the coronopreputial frenulum.阴蒂的解剖结构:阴蒂头冠、阴蒂冠状乳头及冠包皮系带。

本文引用的文献

1
Recommended standardized anatomic terminology of the posterior female pelvis and vulva.女性骨盆后部和外阴的推荐标准化解剖学术语。
Am J Obstet Gynecol. 2022 Jul;227(1):118. doi: 10.1016/j.ajog.2022.02.018. Epub 2022 Feb 17.
2
Reply: Further discussion and clarification of female vulvar anatomy.回复:关于女性外阴解剖结构的进一步讨论与阐释。
Am J Obstet Gynecol. 2022 Jul;227(1):119. doi: 10.1016/j.ajog.2022.02.017. Epub 2022 Feb 17.
3
Case Report: A Case of Hailey-Hailey Disease Mimicking Condyloma Acuminatum and a Novel Splice-Site Mutation of ATP2C1 Gene.
Anat Cell Biol. 2024 Jun 30;57(2):183-193. doi: 10.5115/acb.24.027. Epub 2024 May 9.
4
Hundreds of body parts are named after hair: is anatomical terminology supercilious or simply super silly?数百个人体部位的名称都来源于毛发:解剖学术语是自命不凡还是仅仅超级愚蠢?
Anat Sci Int. 2024 Sep;99(4):481-491. doi: 10.1007/s12565-024-00765-7. Epub 2024 Apr 8.
5
Terminologia anatomica: evolution but not revolution.《解剖学名词》:演变而非变革。
Anat Sci Int. 2024 Sep;99(4):357-360. doi: 10.1007/s12565-024-00760-y. Epub 2024 Mar 20.
病例报告:1例酷似尖锐湿疣的黑棘皮病样鱼鳞病病例及ATP2C1基因新的剪接位点突变
Front Genet. 2021 Dec 14;12:777630. doi: 10.3389/fgene.2021.777630. eCollection 2021.
4
Feasibility, indications and complications of SCIP flap for reconstruction after extirpative surgery for vulvar cancer.阴户癌根治术后 SCIP 皮瓣重建的可行性、适应证和并发症。
J Plast Reconstr Aesthet Surg. 2022 Mar;75(3):1150-1157. doi: 10.1016/j.bjps.2021.11.005. Epub 2021 Nov 13.
5
Mapping a Danger Zone of the Dorsal Nerve of the Clitoris: Implications in Female Cosmetic Genital Surgery.绘制阴蒂背神经的危险区:女性生殖器美容外科的意义。
Plast Reconstr Surg. 2021 Nov 1;148(5):1005-1010. doi: 10.1097/PRS.0000000000008412.
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Circumcision with plastic Alisclamp technique in 4733 boys: our experiences to reduce complications.4733 例男孩行塑料 Alisclamp 技术包皮环切术:减少并发症的经验。
Turk J Med Sci. 2021 Jun 28;51(3):1324-1330. doi: 10.3906/sag-2011-199.
7
Langerhans cell histiocytosis of vulva and perineum.外阴和会阴朗格汉斯细胞组织细胞增多症
Indian J Dermatol Venereol Leprol. 2021 Jan-Feb;87(1):75-77. doi: 10.25259/IJDVL_399_20.
8
The pudendum and the perversion of anatomical terminology.阴部与解剖学术语的反常。
Clin Anat. 2021 Jul;34(5):721-725. doi: 10.1002/ca.23706. Epub 2021 Jan 6.
9
Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction.克林索综合征导致的阴茎部分截肢:一例成功进行宏观重建的病例报告。
Int J Surg Case Rep. 2020;77:387-391. doi: 10.1016/j.ijscr.2020.10.141. Epub 2020 Nov 7.
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Oral and maxillofacial surgeons' assessment of the role of Pernkopf's atlas in surgical practice.口腔颌面外科医生对 Pernkopf 解剖图谱在外科实践中作用的评估。
Ann Anat. 2021 Mar;234:151614. doi: 10.1016/j.aanat.2020.151614. Epub 2020 Nov 7.