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女性生殖器切割:概述及皮肤学关联

Female genital mutilation: Overview and dermatologic relevance.

作者信息

Esse Ilhan, Kincaid Colin M, Terrell Carrie Ann, Mesinkovska Natasha A

机构信息

Department of Dermatology, University of California, Irvine, California.

Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, Minnesota.

出版信息

JAAD Int. 2023 Oct 6;14:92-98. doi: 10.1016/j.jdin.2023.07.022. eCollection 2024 Mar.

DOI:10.1016/j.jdin.2023.07.022
PMID:38352964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10862004/
Abstract

Female genital mutilation (FGM) is a common cultural practice, which involves the partial or complete removal of the external female genitalia. With increasing immigration from regions where the practice is endemic, there has been a growing prevalence of FGM in the United States and other developed nations. However, most medical professionals lack the baseline knowledge regarding FGM and its associated health complications. Given this increasing trend, dermatologists should anticipate an increasing number of patients with a history of FGM in their practice. While some of the obstetric, gynecologic, and psychologic consequences of FGM have been well-reported, the dermatologic findings are less characterized. Thus, this review article aims to provide dermatologists with a fundamental understanding of the prevalence, cultural significance, and health implications of FGM with a focus on the associated dermatological findings and provides recommendations on how dermatologists can address this sensitive matter.

摘要

女性生殖器切割是一种常见的文化习俗,涉及部分或全部切除女性外生殖器。随着来自该习俗流行地区的移民增加,美国和其他发达国家女性生殖器切割的患病率也在上升。然而,大多数医学专业人员缺乏关于女性生殖器切割及其相关健康并发症的基础知识。鉴于这种增长趋势,皮肤科医生在其临床实践中应预计会有越来越多有女性生殖器切割史的患者。虽然女性生殖器切割的一些产科、妇科和心理后果已有充分报道,但皮肤病学方面的表现特征较少。因此,这篇综述文章旨在让皮肤科医生对女性生殖器切割的患病率、文化意义和健康影响有基本的了解,重点关注相关的皮肤病学表现,并就皮肤科医生如何处理这一敏感问题提供建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/2b0dd59a2dcc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/9dad759e7e14/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/da93a27182e5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/a65aea2e3afd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/828593c6eb57/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/2b0dd59a2dcc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/9dad759e7e14/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/da93a27182e5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/a65aea2e3afd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/828593c6eb57/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff0/10862004/2b0dd59a2dcc/gr5.jpg

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本文引用的文献

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Arch Gynecol Obstet. 2023 Oct;308(4):1067-1074. doi: 10.1007/s00404-023-06929-6. Epub 2023 Jan 27.
2
Influence of Female Genital Mutilation/Cutting on Health Morbidity, Health Service Utilization and Satisfaction with Care among Somali Women and Teenage Girls in the United States.女性割礼/切割对美国索马里妇女和少女健康发病率、卫生服务利用情况和护理满意度的影响。
J Racial Ethn Health Disparities. 2023 Apr;10(2):788-796. doi: 10.1007/s40615-022-01266-x. Epub 2022 Mar 8.
3
Painful gynecologic and obstetric complications of female genital mutilation/cutting: A systematic review and meta-analysis.
女性生殖器切割/切割的妇科和产科并发症:系统评价和荟萃分析。
PLoS Med. 2020 Mar 31;17(3):e1003088. doi: 10.1371/journal.pmed.1003088. eCollection 2020 Mar.
4
Public Health Research Priorities to Address Female Genital Mutilation or Cutting in the United States.解决美国女性生殖器官切割问题的公共卫生研究重点。
Am J Public Health. 2019 Nov;109(11):1523-1527. doi: 10.2105/AJPH.2019.305259. Epub 2019 Sep 19.
5
Female Genital Cutting and Deinfibulation: Applying the Theory of Planned Behavior to Research and Practice.女性生殖器切割和去瓣术:将计划行为理论应用于研究和实践。
Arch Sex Behav. 2021 Jul;50(5):1913-1927. doi: 10.1007/s10508-019-1427-4. Epub 2019 Jul 29.
6
The effectiveness of surgical interventions for women with FGM/C: a systematic review.女性外阴残割/切割手术干预的效果:系统评价。
BJOG. 2018 Feb;125(3):278-287. doi: 10.1111/1471-0528.14839. Epub 2017 Aug 28.
7
Management of painful clitoral neuroma after female genital mutilation/cutting.女性生殖器切割术后疼痛性阴蒂神经瘤的管理
Reprod Health. 2017 Feb 8;14(1):22. doi: 10.1186/s12978-017-0288-3.
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Deinfibulation for preventing or treating complications in women living with type III female genital mutilation: A systematic review and meta-analysis.阴蒂松解术预防或治疗接受III型女性生殖器切割女性并发症的系统评价和荟萃分析
Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:13-20. doi: 10.1002/ijgo.12056.
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Surgical and nonsurgical interventions for vulvar and clitoral pain in girls and women living with female genital mutilation: A systematic review.针对遭受女性生殖器切割的女童和妇女的外阴及阴蒂疼痛的手术和非手术干预措施:一项系统评价。
Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:34-37. doi: 10.1002/ijgo.12048.
10
Antepartum or intrapartum deinfibulation for childbirth in women with type III female genital mutilation: A systematic review and meta-analysis.III型女性生殖器切割女性分娩时的产前或产时去纤维化术:一项系统评价和荟萃分析。
Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:21-29. doi: 10.1002/ijgo.12055.