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中华腔镜外科杂志(电子版) ›› 2026, Vol. 19 ›› Issue (02) : 118 -121. doi: 10.3877/cma.j.issn.1674-6899.2026.02.010

临床技术

单孔腹腔镜在直肠阴道隔子宫内膜异位症切除中的应用
孙丹, 卢柔霏, 林汇斯()   
  1. 530021 南宁,广西医科大学第一附属医院妇科
  • 收稿日期:2026-03-18 出版日期:2026-04-30
  • 通信作者: 林汇斯
  • 基金资助:
    广西自然科学基金面上项目(2025GXNSFAA069050); 大学生创新训练计划项目(S202510598195)

Application of laparoscopic single-site surgery in the resection of rectovaginal septum endometriosis

Dan Sun, Roufei Lu, Huisi Lin()   

  1. Department of Gynecology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2026-03-18 Published:2026-04-30
  • Corresponding author: Huisi Lin
引用本文:

孙丹, 卢柔霏, 林汇斯. 单孔腹腔镜在直肠阴道隔子宫内膜异位症切除中的应用[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(02): 118-121.

Dan Sun, Roufei Lu, Huisi Lin. Application of laparoscopic single-site surgery in the resection of rectovaginal septum endometriosis[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2026, 19(02): 118-121.

目的

探讨单孔腹腔镜在直肠阴道隔子宫内膜异位症切除中的应用。

方法

回顾性分析2023年6月在广西医科大学第一附属医院就诊的1例直肠阴道隔子宫内膜异位症(rectovaginal septum endometriosis,RVSE),接受经脐单孔腹腔镜手术治疗患者的临床资料。

结果

患者接受了经脐单孔腹腔镜手术,术中应用充分术野暴露、间隙解剖、优先保护肠管及输尿管及识别深部浸润型子宫内膜异位症( deeply infiltrating endometriosis,DIE)病灶手术技巧切除了病灶,术中出血少,无损伤,随访2年未见复发。

结论

采用经脐单孔腹腔镜切除直肠阴道隔子宫内膜异位症是安全可行的。

Objective

To explore the application of laparoscopic single-site surgery in the resection of rectovaginal septum endometriosis.

Methods

A retrospective analysis was conducted on 1 case of rectovaginal septum endometriosis (RVSE) treated with laparoscopic single site surgery in Jun. 2023 at the First Affiliated Hospital of Guangxi Medical University.

Results

The patient received laparoscopic single site surgery and no recurrence was found during the 2-year follow-up. Surgical skills include exposure, anatomy, priority protection and identification of lesions.

Conclusion

Laparoscopic single site surgery is safe and feasible to remove rectovaginal septum endometriosis.

图1 术前检查及术后病理注:A.窥器检查见右侧阴道后穹窿紫蓝色结节;B.磁共振显示直肠前壁与子宫后壁分界不清,直肠前壁增厚(星号所示);C.术后直肠标本显示增厚肠管长3.5 cm(星号所示);D.肿物组织(苏木精-伊红染色,×100)
图2 RVSE病灶切除过程注:A.探查见子宫后壁与直肠及右侧输尿管粘连;B.分离出直肠侧间隙;C.缝线悬吊右附件;D.箭头所指为直肠子宫内膜异位症病灶;E.切开阴道后穹窿;F.直肠远端上闭合器;G.经脐切口提出直肠,置入吻合器底钉座;H.吻合后的直肠
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