Lin Xijuan, Kang Jia, Zhu Lan
Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, State Key Laboratory for Complex Severe and Rare Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 Shuaifuyuan, Beijing 100005, China.
Biomedicines. 2025 Jan 8;13(1):128. doi: 10.3390/biomedicines13010128.
Vaginal atresia is a rare anomaly of the female reproductive tract that significantly impacts women's reproductive health and quality of life. Although there has been relatively extensive research on the clinical manifestations and differential diagnosis of vaginal atresia, there is a paucity of literature specifically addressing the genetic background, treatment protocols, and psychological status of patients with vaginal atresia, indicating a need for further investigation. In this context, this article systematically reviews the epidemiological characteristics of vaginal atresia and explores its etiology from multiple perspectives, including developmental processes, genetic factors, and environmental factors, emphasizing the importance of genetic susceptibility and environmental interactions in the pathogenesis of the condition. Building upon a summary of the clinical presentations, classification, and diagnostic methods of vaginal atresia, this article provides an overview of current treatment strategies for both partial vaginal atresia and complete vaginal atresia, discusses the psychological status of affected patients, and examines fertility outcomes and sexual function. The aim is to offer insights and recommendations for future research on vaginal atresia, ultimately striving to enhance the quality of life for affected individuals.
阴道闭锁是女性生殖道罕见的畸形,对女性生殖健康和生活质量有重大影响。尽管对阴道闭锁的临床表现和鉴别诊断已有较为广泛的研究,但专门针对阴道闭锁患者的遗传背景、治疗方案及心理状况的文献却很匮乏,这表明有必要进一步开展研究。在此背景下,本文系统回顾了阴道闭锁的流行病学特征,并从发育过程、遗传因素和环境因素等多个角度探讨其病因,强调遗传易感性和环境相互作用在该病发病机制中的重要性。在总结阴道闭锁的临床表现、分类及诊断方法的基础上,本文概述了部分阴道闭锁和完全阴道闭锁的当前治疗策略,讨论了受影响患者的心理状况,并研究了生育结局和性功能。目的是为未来阴道闭锁的研究提供见解和建议,最终致力于提高受影响个体的生活质量。