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重新定义阴道发育不全的管理:全面综述

Redefining Vaginal Agenesis Management: A Comprehensive Review.

作者信息

Saravanakumar Prathibha, Selvam Divyabharathi, K S Anusha, Maheswari Uma, Jeyapalan Karthigeyan

机构信息

Prosthodontics, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Prosthodontics, SRM Dental College, Chennai, IND.

出版信息

Cureus. 2024 Dec 25;16(12):e76366. doi: 10.7759/cureus.76366. eCollection 2024 Dec.

Abstract

Vaginal agenesis, a rare and complex congenital anomaly predominantly linked to Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome or complete androgen insensitivity syndrome (CAIS), demands innovative and highly individualized treatment strategies to achieve anatomical and functional restoration. While non-surgical options like vaginal dilation remain foundational, the advent of custom-made stents has redefined the paradigm of care, emerging as a transformative tool in both post-surgical and non-surgical management. Bridging the expertise of prosthodontics and gynecology, personalized stents not only enhance healing and maintain patency but also elevate patient comfort and compliance. Prosthodontists, leveraging advanced material science and precision design, play a critical role in crafting bespoke stents tailored to anatomical and therapeutic needs. This review highlights the synergistic relationship between prosthodontics and gynecology, emphasizing the cutting-edge role of custom stents in improving outcomes for patients with vaginal agenesis.

摘要

阴道发育不全是一种罕见且复杂的先天性异常,主要与迈耶-罗基坦斯基-库斯特-豪泽综合征(MRKH综合征)或完全性雄激素不敏感综合征(CAIS)相关,需要创新且高度个性化的治疗策略来实现解剖结构和功能的恢复。虽然诸如阴道扩张等非手术选择仍然是基础,但定制支架的出现重新定义了护理模式,成为手术和非手术治疗中的变革性工具。融合了口腔修复学和妇科专业知识的个性化支架不仅能促进愈合、保持通畅,还能提升患者的舒适度和依从性。口腔修复医生利用先进的材料科学和精确设计,在制作符合解剖和治疗需求的定制支架方面发挥着关键作用。本综述强调了口腔修复学与妇科之间的协同关系,着重阐述了定制支架在改善阴道发育不全患者治疗效果方面的前沿作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9c/11759661/5d5f9f618d85/cureus-0016-00000076366-i01.jpg

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