Hysteroscopy steps

Hysteroscopy is a method of examining the inside of a woman's uterus. This method is used to treat cervical diseases, because the inside of a woman's cervix cannot be seen with the naked eye. Only by inserting a mirror into a woman's uterus and then displaying a picture on a computer can the specific condition of the woman's uterus be determined. So what are the steps for a hysteroscopy?

Hysteroscopy is currently a very advanced examination method. This examination method has many advantages. First of all, it can be observed from multiple angles, and the examination process is more intuitive. In addition, the body recovers quickly after hysteroscopy, and only a short hospitalization time is required to recover. The burden on patients will be greatly reduced. The following will introduce the detailed process of hysteroscopy.

What is the hysteroscopy procedure like?

Hysteroscopy procedure:

The hysteroscopy procedure is as follows:

1. Dilate the cervix to the required size, insert the hysteroscope into the internal cervical os along the uterine cavity, and inject 5% glucose solution into the uterine cavity at the same time. Rinse it clean, and then drip glucose solution into the uterine cavity to dilate the uterus.

2. After the uterine cavity is fully dilated, the hysteroscope can be used to observe the morphology and endometrium of the cavity. The hysteroscope should be rotated to check various parts of the uterine cavity in sequence, and finally the cervical canal should be checked, and then the cervix should be slowly withdrawn. A glucose drip must be maintained during the examination.

3. Tissue biopsy, foreign body removal, etc. can be performed through the operating channel of the laparoscope.

Hysteroscopy procedure

1. The subject takes the lithotomy position, disinfects the vulva and vagina, lays a sterile towel, exposes the cervix with a vaginal speculum, disinfects the vagina and cervix again, clamps the cervix with a cervical clamp, uses a probe to understand the depth and direction of the uterine cavity, and dilates the cervix to a size half the diameter of the outer sheath of the endoscope. Connect the liquid distension pump and adjust the pressure to the lowest effective distension pressure. After emptying the gas in the perfusion tube, use 5% glucose solution to distend the cervix. Under direct vision, slowly insert the hysteroscope into the uterine cavity according to the axial diameter of the cervical canal. Flush the blood in the uterine cavity until the liquid is clear. Adjust the liquid flow rate so that the intrauterine pressure reaches the required pressure. When the uterine cavity is expanded, the uterine cavity and cervical canal can be clearly seen.

2. Observe the uterine cavity: first observe the entire uterine cavity, the uterine fundus, the anterior and posterior walls of the uterine cavity, and the opening of the fallopian tube. During the withdrawal process, observe the internal cervical os and cervical canal. Withdraw the hysteroscope from the cervical canal.

3. Intrauterine operation: short and simple surgical operations can be performed immediately after diagnosis, such as IUD incarceration, easily resectable endometrial polyps, endometrial biopsy, etc.

It should be noted that the examination requires fasting in the morning, so friends who go to the hospital for examination should pay attention. The test results usually don’t come out so quickly, so if conditions permit, you can stay in the hospital. The specific situation will be based on the hospital examination or doctor’s diagnosis results. The main advantage of staying in the hospital is that the doctor can keep track of the patient's condition at any time, and can make arrangements as soon as the test results come out.