What Is a Hysteroscopy?
According to the horizontal comparison of the items examined, the normal range can be given.
- Hysteroscope is a new, minimally invasive gynecological diagnosis and treatment technology, a fiber light source endoscope for intrauterine examination and treatment, including hysteroscope, energy system, light source system, perfusion system and imaging system; It uses the front part of the lens body to enter the uterine cavity, and it has a magnifying effect on the observed part. It is an intuitive and accurate method of choice for gynecological bleeding diseases and intrauterine lesions. A series of tests and treatments such as examination, diagnosis, and analysis are performed on women through hysteroscopy.
- Name
- Hysteroscopy
- category
- Endoscope
Hysteroscopy normal value
- According to the horizontal comparison of the items examined, the normal range can be given.
Clinical significance of hysteroscopy
- Abnormal result B-ultrasound, uterine tubal lipiodol angiography or diagnosis and curettage examination suggest abnormal or suspicious, can be diagnosed, verified or ruled out by hysteroscopy. Those with intrauterine adhesions or foreign body residues, including fetal bone fragments. The application of hysteroscopy, localized biopsy, and histopathological evaluation can help early diagnosis and timely treatment of patients with endometrial cancer and its precancerous lesions.
Suitable for inspection:
(1) Excessive menstruation, frequent menstruation, excessive menstrual periods, irregular uterine bleeding, etc. (2) Infertility and recurrent spontaneous abortion
(3) Suspected of endometrial cancer and its precancerous lesions,
Precautions for hysteroscopy
- Before the examination: (1) Hysteroscopy is usually best performed 3-7 days after menstruation. (2) Sexual life is prohibited after menstruation or 3 days before surgery. (3) Urine can be properly held before surgery to facilitate B-ultrasound monitoring during surgery. (4) Examination before surgery: examination of infectious diseases (hepatitis B surface antigen, HIV, HCV, RPR), small liver function, kidney function, electrocardiogram, hematuria, coagulation, and vaginal discharge routine. After the examination: (1) Prohibit sexual life and bath for 1 month after the operation. (2) Rest for at least 1 week after surgery. (3) Give antibiotics orally after surgery. (4) If there is more vaginal bleeding, come to the hospital for treatment at any time. (5) There may be a small amount of vaginal bleeding within 2 months after hysteroscopic electrotomy, and the third month is normal menstruation. (6) One week after the operation, go to the hospital to take pathological results and return to the clinic. People who are not suitable for examination: 1. Active uterine bleeding (except for small bleeding or special indications) 2. Acute or subacute reproductive tract infection 3. People with recent uterine perforation or uterine surgery history (within 3 months) 4. Those who want to continue pregnancy. 5. Cervical malignancy. 6. Reproductive tract tuberculosis, without proper anti-TB treatment. 7. Those with excessively narrow uterine cavity or too narrow cervix. 8, severe heart, lung, liver, kidney and other organ diseases, metabolic acidosis and other intolerable. 9. If the oral temperature is not lower than 37.5 degrees before operation, the examination or operation will be suspended.
Hysteroscopy procedure
- Inspection steps: Before the operation, the perfusion system is started to expand the uterus, which can ensure the pressure in the uterus and can also play a role in cooling and flushing. Hysteroscopy is divided into inspection hysteroscopy and surgical hysteroscopy. There are three different types of electrodes in surgical hysteroscopy, and their normal work cannot be separated from the energy system, which is the support of current. In addition, in order to ensure the accuracy of the operation, a light source system and an imaging system are also required to help. During the operation, with clear lighting and monitoring of the imaging system, it can avoid unclear vision and can play a guiding role.
Hysteroscopy related diseases
- Cervical leiomyoma, endometrial stromal sarcoma, endometrial polyps, pregnancy with uterine fibroids, endometriosis, ovarian support-stromal cell tumor, dysfunctional uterine bleeding disease, uterine fibroids, Primary fallopian tube cancer, dysmenorrhea
Hysteroscopy related symptoms
- Pulse dysfunction, cervical pain, traumatic adhesions, vaginal adhesions or even atresia, uterine perforation, pain during intercourse, menopause, heavy menstrual flow, postpartum hemorrhage, anemia