[1]张青,曹云桂,施永鹏,等.经脐入路腹腔镜手术治疗输卵管妊娠30例报告[J].中国微创外科杂志,2010,10(6):515-516.
　Zhang Qing,Cao Yungui,Shi Yongpeng,et al.Transumbilical Laparoscopic Surgery for Tubal Pregnancy: Report of 30 Cases[J].Chinese Journal of Minimally Invasive Surgery,2010,10(6):515-516.
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经脐入路腹腔镜手术治疗输卵管妊娠30例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年6期
页码:
515-516
栏目:
新技术新方法
出版日期:
2010-07-01

文章信息/Info

Title:
Transumbilical Laparoscopic Surgery for Tubal Pregnancy: Report of 30 Cases
作者:
张青; 曹云桂; 施永鹏; 秦月勤; 朱莉华; 陈利; 杜惠; 魏清; 高京海
上海市嘉定区妇幼保健院，上海201800
Author(s):
Zhang Qing;  Cao Yungui;  Shi Yongpeng; et al.
Jiading Women’s and Children’s Hospital, Shanghai 201800, China
关键词:
经脐入路; 腹壁无瘢痕手术; 腹腔镜; 输卵管妊娠
Keywords:
Transumbilical route; Nonscar surgery; Laparoscope; Fallopian pregnancy
分类号:
R713.8
文献标志码:
B
摘要:
目的探讨经脐入路腹腔镜手术治疗输卵管妊娠的可行性。方法2009年2～9月对30例输卵管妊娠采用经脐入路腹腔镜下患侧输卵管切除术。脐上缘做一10 mm横切口，置入腹腔镜，另2个操作孔在脐轮左、右两侧。结果30例手术顺利完成，无中转常规腹腔镜手术或开腹手术。手术时间（30.6±7.7）min。术中出血量5～10 ml。除脐部皱褶部位外,腹壁几乎无可见的手术瘢痕。术后恢复顺利，无出血、发热、皮下气肿等并发症。术后3 d出院，术后血hCG降为正常时间（7.5±2.4）d。术后1个月随访28例，对手术的美容效果非常满意。结论经脐入路腹腔镜手术治疗输卵管妊娠在技术上是可行的，并具有良好的美容效果。
Abstract:
ObjectiveTo explore the feasibility of transumbilical laparoscopic surgery in the treatment of tubal pregnancy. MethodsA total of 30 women with tubal pregnancy were treated by transumbilical laparoscopic technique in our hospital from February to September 2009.ResultsAll the operations were completed successfully without conversion to routine laparoscopic surgery or open surgery. The average operation time was (30.6±7.7) min. During the operation, the patients had 5-10 ml blood loss. No postoperative complications including bleeding, fever, and subcutaneous emphysema, occurred in our patients. No abdominal scar was found after the operation except in the skin folds around the umbilicus. All the patients were discharged 3 days postoperatively with satisfaction with cosmetic results. Followup was achieved in 28 patients for one month during which the serum level of hCG returned to a normal range in (7.5±2.4) days.ConclusionTransumbilical laparoscopic surgery is feasible for tubal pregnancy with good cosmetic results.

参考文献/References:

[1]朱江帆．腹壁无瘢痕手术:从NOTES到TUES．中国微创外科杂志，2007，7：844-846．
[2]Nguyen N, Reavis KM, Hinojosa MW, et al. Laparoscopic transumbilical cholecystectomy without visible abdominal scars. J Gastrointest Surg,2009,13(6):1125-1128.
[3]朱江帆，胡海，马颖璋，等．用改良的器械实现腹壁无可见瘢痕的经脐入路腹腔镜胆囊切除术．中国微创外科杂志，2009，9：56-58．
[4]Gumbs AA, Milone L, Sinha P, et al. Totally transumbilical laparoscopic cholecystectomy. J Gastrointest Surg,2009,13（3）：533-534.
[5]嵇振岭，朱江帆，胡冰．腹壁无瘢痕手术的现状及展望．中国微创外科杂志，2009，9：293-294.

更新日期/Last Update: 2013-07-16