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[子宫黏膜全切除术(TUMA)——用C*U*R*T*代替子宫内膜切除术]

[Total ablation of uterine mucosa (TUMA)--C*U*R*T* instead of endometrium ablation].

作者信息

Semm K

机构信息

Klinik für Gynäkologie und Geburtshilfe, Christian-Albrechts-Universität, Kiel.

出版信息

Geburtshilfe Frauenheilkd. 1992 Dec;52(12):773-7. doi: 10.1055/s-2007-1023810.

DOI:10.1055/s-2007-1023810
PMID:1490557
Abstract

Hysteroscopic ablatio endometrii, a procedure established in gynaecology as a result of the general trend to minimal invasive surgery, is clinically not very satisfactory. A new procedure, namely, transvaginal pelviscopically monitored cervix/cavum uteri fundus punch via CURT (Calibrated Uterine Resection Tool) enables removal of the total endothelium from the uterus. TUMM (total uterine mucosa ablation) is a synthesis of pelviscopy, excoriation by conisation, and ablatio. This procedure may be considered as the presently optimal method to avoid hysterectomy in case of special indications.

摘要

宫腔镜子宫内膜切除术作为妇科领域因微创手术总体趋势而确立的一种手术方法,在临床上并不十分令人满意。一种新的手术方法,即经阴道盆腔镜监测下通过CURT(校准子宫切除工具)进行宫颈/子宫腔底部打孔,能够去除子宫的全部内膜。全子宫黏膜切除术(TUMM)是盆腔镜检查、锥形切除剥脱术和切除术的综合。对于特殊适应症的情况,该手术可被视为目前避免子宫切除术的最佳方法。

相似文献

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[Total ablation of uterine mucosa (TUMA)--C*U*R*T* instead of endometrium ablation].[子宫黏膜全切除术(TUMA)——用C*U*R*T*代替子宫内膜切除术]
Geburtshilfe Frauenheilkd. 1992 Dec;52(12):773-7. doi: 10.1055/s-2007-1023810.
2
[Vaginal supracervical vs. laparoscopic supracervical hysterectomy, with resection of transcervical and transuterine mucosa].阴道式子宫颈上子宫切除术与腹腔镜子宫颈上子宫切除术,伴经宫颈和经子宫黏膜切除术
Zentralbl Gynakol. 1995;117(12):633-40.
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[Hysterectomy via laparotomy or pelviscopy. A new CASH method without colpotomy].[经腹或腹腔镜子宫切除术。一种无需阴道切开术的新型CASH方法]
Geburtshilfe Frauenheilkd. 1991 Dec;51(12):996-1003. doi: 10.1055/s-2008-1026252.
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[Hyponatremia and lung edema in endometrium ablation with rollerball ablation].
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[Transcervical endometrium ablation with the roller ball method--an alternative to hysterectomy in therapy refractory, recurrent hypermenorrhea?--Initial experiences].[采用滚球法经宫颈子宫内膜消融术——治疗难治性、复发性月经过多的子宫切除术替代方法?——初步经验]
Geburtshilfe Frauenheilkd. 1994 Apr;54(4):213-5. doi: 10.1055/s-2007-1023584.
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[Hysteroscopically guided endometrial destruction in the treatment of menorrhagia].[宫腔镜引导下子宫内膜破坏术治疗月经过多]
Ugeskr Laeger. 1992 Mar 16;154(12):770-3.
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Endoscopic subtotal hysterectomy without colpotomy: classic intrafascial SEMM hysterectomy. A new method of hysterectomy by pelviscopy, laparotomy, per vaginam or functionally by total uterine mucosal ablation.无阴道切开的内镜下子宫次全切除术:经典筋膜内SEMM子宫切除术。一种通过盆腔镜、剖腹术、经阴道或通过全子宫黏膜消融术在功能上进行子宫切除的新方法。
Int Surg. 1996 Oct-Dec;81(4):362-70.
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Health technology assessment of surgical therapies for benign gynaecological disease.良性妇科疾病手术治疗的卫生技术评估
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The neodymium:YAG laser and the resectoscope for the treatment of menorrhagia.钕钇铝石榴石激光和电切镜用于治疗月经过多。
Med J Aust. 1991 Apr 15;154(8):518-20.
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Hysteroscopic treatment of menorrhagia associated with uterine leiomyomas.宫腔镜治疗与子宫平滑肌瘤相关的月经过多
Obstet Gynecol. 1993 May;81(5 ( Pt 1)):716-20.

引用本文的文献

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Evaluation of complications, conversion rate, malignancy rate, and, surgeon's experience in laparoscopic assisted supracervical hysterectomy (LASH) of 1274 large uteri: A retrospective study.评价腹腔镜辅助经宫颈子宫切除术(LASH)治疗 1274 例大子宫的并发症、中转率、恶性肿瘤发生率及术者经验:一项回顾性研究。
Acta Obstet Gynecol Scand. 2022 Dec;101(12):1450-1457. doi: 10.1111/aogs.14468. Epub 2022 Oct 6.
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[General aspects of endoscopic surgery--endoscopic hysterectomy].[内镜手术的一般方面——内镜子宫切除术]
Arch Gynecol Obstet. 1995;257(1-4):4-17. doi: 10.1007/BF02264780.
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[Pro: a critical contribution to better understanding of possible functional disorders of the genital, bladder and pelvic floor system].
Arch Gynecol Obstet. 1995;257(1-4):359-62. doi: 10.1007/BF02264851.