经脐单孔腹腔镜治疗输卵管妊娠的研究进展

Research Progress on Transumbilical Laparoendoscopic Single Site Surgery for the Treatment of Tubal Pregnancy

摘要: 异位妊娠是妇科急症之一，通常指受精卵在输卵管、卵巢或腹腔等子宫腔外部位着床，主要是为输卵管妊娠，输卵管妊娠若不及时治疗，会导致严重并发症甚至威胁生命。近年来，微创手术技术的迅速发展使得经脐单孔腹腔镜手术技术(transumbilical laparoendoscopic single site surgery, TU-LESS)成为治疗输卵管妊娠的重要方法之一。TU-LESS不仅具备良好的美容效果，还能有效减轻术后疼痛并加速恢复，已成为研究和临床应用的热点。本文将对TU-LESS在输卵管妊娠治疗中的应用现状、手术效果、与其他手术方式的比较、面临的挑战及其解决方法进行详细论述。

Abstract: Ectopic pregnancy is one of the gynecological emergencies, typically referring to the implantation of a fertilized egg outside the uterine cavity, most commonly in the tubal, ovary, or abdominal cavity. If tubal pregnancy is not treated promptly, it can lead to serious complications and even pose a life-threatening risk. In recent years, the rapid development of minimally invasive surgical techniques has made transumbilical laparoendoscopic single site surgery (TU-LESS) an important method for treating tubal pregnancy. TU-LESS not only offers excellent cosmetic results but also effectively reduces postoperative pain and accelerates recovery, becoming a hot topic in research and clinical application. This article will provide a detailed discussion on the current status of TU-LESS in the treatment of tubal pregnancy, including surgical outcomes, comparisons with other surgical methods, challenges faced, and potential solutions.