V-NOTES术后足月妊娠经阴道分娩成功案例报告  

A case report of successful vaginal delivery for full-term pregnancy after transvaginal natural orifice transluminal endoscopic surgery(V-NOTES)

作　　者：张守枫 秦真岳 陈继明 张文笛 余红霞 鲍明月 王慧慧 肖惠超 曹颖 郑亚峰 蒋云芬 施如霞 Zhang Shoufeng;Qin Zhenyue;Chen Jiming;Zhang Wendi;Yu Hongxia;Bao Mingyue;Wang Huihui;Xiao Huichao;Cao Ying;Zheng Yafeng;Jiang Yunfen;Shi Ruxia(Dalian Medical University,Dalian,Liaoning Province,Dalian 116000,China;Department of Gynecology,the Affiliated Changzhou No.2 People′s Hospital of Nanjing Medical University,Changzhou 213000,China)

机构地区：[1]大连医科大学,116000 [2]南京医科大学附属常州第二人民医院妇科,常州213000

出　　处：《中华腔镜外科杂志（电子版）》2020年第5期297-300,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：江苏省“333工程”科研资助项目(BRA2019161);江苏省博士后科研资助计划(2019K064);常州市卫生计生委重大科技项目(ZD201812);常州市科技计划项目(CE20175004);南京医科大学康达学院2018年度教育研究课题(KD2018JYYJYB055)。

摘　　要：目的初步探讨经阴道自然腔道内镜手术(transvaginal natural orifice transluminal endoscopic surgery,V-NOTES)术后经阴道分娩的安全性和可行性。方法回顾性分析在南京医科大学附属常州第二人民医院妇科行V-NOTES术后经阴道分娩患者的临床资料并进行总结分析。患者27岁,2019年2月25日因诊断为右侧输卵管异位妊娠,接受V-NOTES右侧输卵管切除术,术后恢复良好,阴道后穹窿切口愈合良好。患者术后成功妊娠,于2020年9月9日经阴道分娩。结果该产妇成功分娩1个体质量3600 g的健康男婴,母子情况良好,阴道后穹窿切口处未出现新的撕裂伤,定期随访结果良好。结论在严格把握手术适应证与禁忌证的前提下,如果术者的手术技术娴熟,行V-NOTES治疗妇科疾病后的患者经阴道分娩可能是安全、可行的。Objective To investigate the safety and feasibility of vaginal delivery after transvaginal natural orifice transluminal endoscopic surgery(V-NOTES).Methods The clinical data of one case who underwent vaginal delivery after V-NOTES operation in the Affiliated NO.2 People′s Hospital of Nanjing Medical University were retrospectively analyzed and summarized.A 27-year-old female patient with right tubal ectopic pregnancy who accepted right salpingectomy via V-NOTES on Feb.25,2019,and recovered well after operation.The incision of posterior vaginal fornix healed well.She underwent vaginal natural delivery on Sep.9,2020.Results The parturient successfully delivered a healthy male infant of 3600 g.The mother and child were in good condition,and there was no new laceration at the incision of posterior vaginal fornix.The results of regular follow-up were good.Conclusions Under the premise of strictly grasping the indications and contraindications of operation,if the surgeon was skilled in surgical techniques,the vaginal delivery of patients who accepted V-NOTES for gynecological diseases might be safe and feasible.

关 键 词：经阴道途径 单孔腹腔镜 阴道分娩 足月妊娠 

分 类 号：R71[医药卫生—妇产科学]