Precautions after diagnostic curettage are clinically divided into diagnostic curettage and therapeutic curettage. General diagnostic curettage is suitable for endocrine abnormalities, and it is necessary to understand the changes of endometrium and its response to sex hormones, ovulation and tuberculosis. Staged diagnosis and curettage refers to the operation of scraping the cervical canal first and then the uterine cavity, and then sending them to the doctor for pathological examination. It is suitable for the diagnosis of uterine malignant tumors such as cervical cancer and endometrial cancer, and can understand the scope of cancer focus.
1, rest in the hospital for half an hour to 1 hour after curettage, and be discharged without special discomfort.
2. Because there is trauma in the endometrium after curettage, there will be vaginal bleeding within two weeks after operation. Generally, it is normal for blood volume to be less than menstruation or similar menstruation. If the blood is still unclean for more than two weeks or the blood volume exceeds the menstrual flow during this period, please go to the hospital immediately.
Because of the pain and stimulation during the operation, you may sweat more. So pay attention to keep warm after operation, avoid cold, prevent exogenous diseases, and don't blow air conditioning too much in midsummer.
4. Keep the perineum clean and dry, and change sanitary napkins frequently. Wash the vulva with clear water every night and dry it with a clean and dry towel. Don't clean the vagina by hand, and don't clean the vagina by yourself with any medicine lotion.
5. Abdominal pain due to uterine contraction after operation was relieved from more than half an hour to about 1 hour. If you have severe abdominal pain, vaginal bleeding and high fever after a few hours or days, please go to the hospital immediately.
There are also things you should pay attention to in life. It is best to rest at home for a week to ensure that your body can get enough rest within two weeks. Don't do too much manual work, pay attention to nutrition when eating, and let your uterus recover as soon as possible.
Diagnostic curettage procedure 1. Empty the bladder, take the lithotomy position of the bladder, and routinely disinfect the vulva, vagina and towel.
2. Double river needle examination to determine the size, position and surrounding tissues of the uterus.
3. Use a speculum to expand the vagina to expose the cervix, and disinfect the vagina and cervix again with disinfectant.
4. Fix the cervix with cervical forceps and explore the depth of uterine cavity. (If sectional curettage is needed, the cervical endometrium should be curetted first, and then the uterine cavity should be explored. )
5. Scrape the endometrium with a special diagnostic curette.
6. When curettage, the curette will scrape the endometrium from the inside out along the four walls of the uterine cavity, the uterine bottom and both sides, and pay attention to whether the uterine cavity is deformed.
7. All curettage endometrium was fixed with 10% formaldehyde or 95% alcohol, and sent for pathological examination.