Abstract：
The objective of this scoping review is to provide a summary of the current literature regarding adolescents and young adults with histories of cloacal anomalies. Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews were used. Data were categorized into four domains-urologic, colorectal, gynecologic/obstetric, and sexual/psychosocial. The current literature has poor study quality and mostly consists of retrospective studies of small cohorts with varying definitions of outcomes. Women with cloacal anomalies are at high risk for urologic dysfunction but can maintain kidney health and achieve social continence with medical and surgical management. Sexual function and adult healthcare transition are areas ripe for improved future research.
摘要：
泄殖腔异常是一组罕见的先天性缺陷，在过去的五十年中，婴儿期和儿童期的外科重建有了显着改善。本范围审查的目的是提供有关有泄殖腔异常史的青少年和年轻人的考虑因素的当前文献的摘要。使用系统审查的首选报告项目和范围审查的荟萃分析扩展（PRISMA-ScR）。合格标准包括主要针对非儿科人群（>12年）中的泄殖腔异常患者的研究。来源是MEDLINE,Embase,科克伦图书馆,WebofScience核心合集,和CINAHL。Covidence被用作图表方法，数据被抽象并分为四个领域-泌尿外科，结直肠,妇科/产科，性/社会心理。目前的文献尤其是研究质量差，主要是由具有不同主要结局定义的小型队列的回顾性研究组成。患有泄殖腔异常的女性肾脏和膀胱功能障碍的风险很高，但可以通过医疗和手术管理维持肾脏健康并实现社会节制。大便失禁也是一个可行的目标，是生活质量的关键驱动因素。穆勒异常和阴道狭窄极为常见，通常需要手术干预。因此，月经和怀孕可能很复杂，但有可能.性功能和儿科到成人的护理过渡是文献中最近的补充，并且是改进未来研究的成熟领域。
