endometrial removal

Surgical treatment plays an important role in gynecological clinical medicine, and gynecological diagnosis and therapeutic minor surgery can not be ignored. Such as curettage, posterior malleolar puncture, vulva and cervical biopsy, etc., in the diagnosis and treatment of a wide range of applications. These procedures are often simple and significant. If it is negligent or improperly operated, it can cause a wrong diagnosis. Ineffective treatment will bring undue pain to the patient. Treatment of diseases: endometrial tuberculosis endometrial cancer Indication Endometrial surgery is applicable to: 1. Diagnosis of endometrial tuberculosis, taken before menstruation. 2. Understand whether ovulation and corpus luteum are healthy, and take it within 6~8h of menstrual cramps or 2~3d before menstruation. If you are infertile, you must have contraception in the month. 3. Understand the changes in endometrial cycle in different periods of menstruation. Endometrial ablation should be taken on the 5th day of the menstrual period. 4. Endometrial cancer is taken at any time. 5. Endometrial hyperplasia observed therapeutic effect. Contraindications 1. Trichomonas, fungi, sexually transmitted diseases or other causes of acute vaginitis, cervicitis. 2. Acute, subacute pelvic inflammatory disease. 3. Those whose body temperature exceeds 37.5 °C. 4. People with a history of sexual life in the past 3 days. 5. Can not rule out pregnancy. 6. The application of sex hormone drugs is less than one to two cycles. Preoperative preparation 1. Check blood routine, platelet, vaginal discharge routine, and measure body temperature. Blood pressure and pulse are measured in people over 45 years old. Those suspected of having a heart disease need to have an electrocardiogram. 2. Sex life is prohibited for 3 days before surgery. 3. Carefully understand the menstrual cycle. 4. The belt looper should be inspected or B-ultrasound before surgery. 5. Hydatidiform mole and choriocarcinoma before the operation of B-ultrasound and blood and blood, establish an infusion channel, ready to transfusion. If necessary, operate under B-monitoring. 6. Patients with inflammation and need surgery, start using antibiotics before surgery, until 3 to 5 days after surgery. Surgical procedure 1. Empty the bladder, take the bladder lithotomy position, disinfect the vulva and vagina, and sterilize the surgical towel. 2. Double-checking to understand the size, azimuth, texture, activity, shape and relationship with the surrounding organs, and whether there are any abnormalities on both sides of the attachment. 3. Place the speculum, expose the cervix, disinfect the vagina and the cervix, clamp the front lip with a cervical clamp, and pull outward to make the uterus horizontal. 4. Use the uterus probe to gently probe the uterus in the direction of the uterus, measure its depth and confirm whether the degree of flexion and size are consistent with the examination. If there is resistance, it is not possible to detect it. You can change the direction to find the position of the uterus without resistance and variation. It is clear whether there is a feeling of resistance to the probe caused by unevenness or adhesion of the inner wall and tumor compression. 5. Send a small curette of the endometrium to the bottom of the palace, close to the wall of the palace, and scrape a small piece of tissue from the top to the bottom of the uterus, the back wall and the two side walls. Suspected tuberculosis patients in the Gongjiao, can also be taken in the bottom of the palace and the lower part of the uterus. If you are preparing to take the cervical tissue at the same time, you should first cure the cervical canal and then cure the uterine cavity. 6. The specimens to be taken are placed in the fixed liquid bottle according to the location and needs, and the name and number on the application form and the specimen are checked and sent to the pathological examination.