本期重点选题•会阴整形•临床研究
ENGLISH ABSTRACT
新疆地区512名汉族和维吾尔族健康中青年女性外阴结构测量的初步研究
曹玉娇
李强
李森恺
李峰永
周宇
作者及单位信息
·
DOI: 10.3760/cma.j.issn.1009-4598.2018.08.006
A preliminary study on measurements of 512 normal female genital appearance of Han and Uygur nationality in Xinjiang
Cao Yujiao
Li Qiang
Li Senkai
Li Fengyong
Zhou Yu
Authors Info & Affiliations
Cao Yujiao
Gynaecological Plastic Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China
Li Qiang
Li Senkai
Li Fengyong
Zhou Yu
·
DOI: 10.3760/cma.j.issn.1009-4598.2018.08.006
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摘要

目的对新疆地区汉族和维吾尔族女性外阴结构进行测量,并比较汉族和维族女性外阴形态上的差异,为建立我国女性外阴形态数据库提供初步资料。

方法2014年10月至2015年3月,采用游标卡尺对新疆石油地质调查处职工医院符合纳入标准的女性体检人群进行外阴测量,并记录一般人口学特征。共测量汉族女性234名,年龄23~54岁,平均44.3岁;维族女性278名,年龄20~55岁,平均40.0岁。分别计算汉族和维族女性外阴测量参数均值的95%可信区间,并对其进行对比分析。对外阴测量参数与一般人口学特征的相关性进行分析,探讨女性外阴形态的影响因素。

结果获得主要测量参数均值95%可信区间,汉族和维族女性外阴测量值存在较多差异。女性外阴形态与年龄、BMI、孕次、产次、经阴道产次和性生活次数有一定的相关性。生育尤其是经阴道产次对会阴体长度有一定的影响。小阴唇的宽度与经阴道产次和性生活次数有一定关系。在汉族和维族人群中,双侧小阴唇完全对称的女性仅占5.6%(13/234)和5.8%(16/278)。

结论该研究获得了新疆地区汉族和维族健康中青年女性外阴结构的测量值,为我国女性外阴数据库的建立提供了初步数据;汉族和维族女性外阴测量值之间存在一定的差异;女性外阴形态与一些人口学特征有一定的相关性。

女性外阴;人体测量;美容外科学
ABSTRACT

ObjectiveTo collect preliminary data of normal Chinese female genital appearance, to compare the parameters of Han and Uygur nationality, and to present the preliminary data for normal female external genitalia database.

MethodsThis study design recruited healthy females referred to the out-patient clinic for physical examination from October 2014 to March 2015 in Xinjiang Petroleum Geological Survey Department Staff Hospital. The recruitment was based on rigid inclusion and exclusion criteria. Demographic data consists of nationality, age, height, weight, marital status, gravidity, parity, vaginal delivery, and intercourse frequency. Anthropometric measurements were taken in 234 females of Han group whereas 278 females of Uygur group. For each individual 16 parameters were measured. The external genitalia appearance in Han and Uygur nationality was compared. The significance of variations in age, height, weight, BMI, gravidity, parity, vaginal delivery and intercourse frequency were analyzed.

ResultsPrimary measurements of Han and Uygur nationality are presented as mean (95% confidence interval). There are many differences in female genital appearance between Han and Uygur nationality. Several parameters were statistically associated with age, BMI, gravidity, parity, vaginal delivery and intercourse frequency. The females with complete labial asymmetry account for 5.6%(13/234) and 5.8%(16/278) in Han and Uygur normal adults, respectively.

ConclusionsThis study presented the external genitalia measurements of normal Chinese female adults in Xinjiang, thus providing the preliminary data for normal female external genitalia database. Females of Han and Uygur nationality have multiple differences in external genitalia appearances. The parameters are associated with age, BMI, gravidity, parity, vaginal delivery, and intercourse frequency. The labial asymmetry is a universal phenomenon.

Vulva;Anthropo-measurement;Aesthetic surgery
Li Qiang, Email: mocdef.3ab6105gnaiqilrd

The authors have no financial interest to declare in relation to the content of this article.

引用本文

曹玉娇,李强,李森恺,等. 新疆地区512名汉族和维吾尔族健康中青年女性外阴结构测量的初步研究[J]. 中华整形外科杂志,2018,34(8):608-613.

DOI:10.3760/cma.j.issn.1009-4598.2018.08.006

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随着经济的发展和人民生活水平的提高,外阴的美学特征和相关区域的解剖特点逐渐被人们关注 [ 1 , 2 ]。有研究表明,性发育异常患者在进行外阴女性化手术后效果并不理想,有80%的患者须行修整手术 [ 3 ]。一些妇科美容手术出现问题的原因就在于术者对女性外阴形态及解剖结构的认识不足 [ 4 ]。没有健康人群外阴的测量数据,也就无法明确外阴美容手术是否具有"治疗"作用 [ 5 ]。国外已有学者对健康人群和行外阴美容手术人群的外阴进行测量,但样本量较小,并且测量群体是多人种组成 [ 5 , 6 ]。我们前期对行妇科美容手术的汉族女性的外阴结构进行了测量研究,发现阴蒂包皮长度、尿蒂距、小阴唇底边长、会阴体长度之间存在一定的比例关系,阴蒂和尿道外口的位置有一定的规律可循,为外阴的修复重建手术提供了一定的参考数据 [ 7 ]。目前迫切需要在大规模同质人群中对成年女性外阴结构进行测量,分析其与种族和其他人口学特征是否存在关联 [ 5 ]。因此,我们利用活体测量 [ 8 ]的方法对健康中青年女性的外阴结构进行了研究。
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备注信息
A
李强,Email: mocdef.3ab6105gnaiqilrd
B
本文作者与论文刊登的内容无利益关系。
C
本研究已参考赫尔辛基宣言。
D
The authors have no financial interest to declare in relation to the content of this article.
E
This study was conducted in accordance with the Helsinki Declaration.
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