Critical comparison of American and European classifications of müllerian anomalies: pros and cons.

Q3 Medicine
Radiologia Brasileira Pub Date : 2025-05-21 eCollection Date: 2025-01-01 DOI:10.1590/0100-3984.2024.0096-en
Luís Ronan Marquez Ferreira de Souza, Cinthia Callegari Barbisan, Cecília Vidal de Souza Torres, Isadora Balderama Canedo
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引用次数: 0

Abstract

Müllerian anomalies represent a spectrum of congenital malformations of the female reproductive tract. Over the decades, various classifications have been developed to categorize these anomalies. Based on a classification proposed by Kaufmann and Jarcho in 1946, the classification devised by the American Fertility Society in 1988 was considered simple and practical; although it faced criticism for its subjectivity and limitations in classifying complex anomalies, it was widely adopted. In 2013, the European Society of Human Reproduction and Embryology and the European Society for Gynaecological Endoscopy introduced a more detailed classification, which, albeit more complex and with a risk of overdiagnosis, also included cervical and vaginal anomalies. In 2021, the American Society for Reproductive Medicine updated the classification with the aim of simplifying and improving diagnostic accuracy, expanding the categories, and defining more objective criteria. This new classification seeks to facilitate communication among professionals and enhance clinical management, emphasizing the importance of continuous updates to improve reproductive outcomes and the quality of life for patients affected by these anomalies. This article aims to discuss the strengths and limitations of each of these classifications, offering a critical analysis of their impact on the diagnosis and treatment of müllerian anomalies. It also seeks to highlight aspects that may be refined in future revisions to achieve greater diagnostic precision and clinical applicability.

欧美勒勒星异常分类的关键性比较:利弊。
勒氏管异常是女性生殖道先天性畸形的一种表现。几十年来,人们发展了各种分类方法来对这些异常进行分类。在1946年考夫曼和雅科提出的分类基础上,1988年美国生育学会设计的分类被认为简单实用;尽管该方法在分类复杂异常时存在主观性和局限性,但仍被广泛采用。2013年,欧洲人类生殖与胚胎学会和欧洲妇科内窥镜学会引入了更详细的分类,尽管更复杂,也有过度诊断的风险,但也包括宫颈和阴道异常。2021年,美国生殖医学学会更新了分类,目的是简化和提高诊断准确性,扩大类别,并定义更客观的标准。这种新的分类旨在促进专业人员之间的交流,加强临床管理,强调持续更新的重要性,以改善受这些异常影响的患者的生殖结果和生活质量。本文旨在讨论每种分类的优势和局限性,并对其对勒氏管异常的诊断和治疗的影响进行批判性分析。它还试图强调可能在未来修订中改进的方面,以实现更高的诊断精度和临床适用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Radiologia Brasileira
Radiologia Brasileira Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
2.60
自引率
0.00%
发文量
75
审稿时长
28 weeks
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