Semm K
Klinik für Gynäkologie und Geburtshilfe, Christian-Albrechts-Universität, Kiel.
Geburtshilfe Frauenheilkd. 1992 Dec;52(12):773-7. doi: 10.1055/s-2007-1023810.
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.
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。