What does hysteroscopic biopsy check?

For many women, hysteroscopic biopsy may not be unfamiliar. Hysteroscopic biopsy is also a therapeutic technique. Because many women with gynecological diseases can only know their condition through this examination method. Especially some cancers. So when it comes to what hysteroscopic biopsy checks, more people hope that hysteroscopic biopsy can detect whether there are cancer cells in the uterine cavity.

Hysteroscopy is a new, minimally invasive gynecological diagnostic and treatment technology. It is a fiber-light endoscope used for intrauterine examination and treatment. It includes a hysteroscope, an energy system, a light system, a perfusion system and an imaging system. It uses the front part of the scope to enter the uterine cavity and has a magnifying effect on the observed area. It is the preferred examination method for gynecological hemorrhagic diseases and intrauterine lesions because of its intuitive and accurate nature. Hysteroscopy is used to examine, diagnose, analyze and perform a series of tests and treatments on women.

If B-ultrasound, hysterosalpingography or curettage examination show abnormalities or suspicions, hysteroscopy can be used to confirm, verify or exclude them.

There are adhesions in the uterine cavity or foreign bodies retained in the uterine cavity, the latter including fetal bone fragments, etc.

The application of hysteroscopy, positioning biopsy and histopathological evaluation can help in the early diagnosis and timely treatment of endometrial cancer and its precancerous lesions.

Suitable people for examination:

(1) Excessive menstruation, frequent menstruation, prolonged menstruation, irregular uterine bleeding, etc.

(2) Infertility and recurrent spontaneous abortion

(3) Patients suspected of having endometrial cancer or its precancerous lesions.

Before the test:

(1) Hysteroscopy is generally best performed 3-7 days after the end of menstruation.

(2) Sexual intercourse is prohibited after menstruation or 3 days before surgery.

(3) You can hold your urine for a while before the operation to facilitate B-ultrasound monitoring during the operation.

(4) Preoperative examinations: infectious disease examination (HBsAg, HIV, HCV, RPR), liver function test, renal function test, electrocardiogram, routine blood and urine tests, four coagulation tests, and routine leucorrhea test.

After the examination: (1) Sexual intercourse and bathing in a tub should be prohibited for 1 month after the operation.

(2) Rest for at least 1 week after surgery.

(3) Appropriate oral antibiotics should be given after surgery.

(4) If you have excessive 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 transurethral resection, and normal menstruation will not occur until the third month.

(6) Go to the hospital one week after surgery to obtain the pathology results and have a follow-up visit.

People who are not suitable for examination: 1. Active uterine bleeding (except for those with small amounts of bleeding or special indications); 2. Those with acute or subacute reproductive tract infection; 3. Those with a recent history of uterine perforation or uterine surgery (within 3 months); 4. Those who want to continue the pregnancy. 5. Malignant tumor of cervix. 6. Genital tuberculosis without appropriate anti-tuberculosis treatment. 7. The uterine cavity is too narrow or the cervix is ​​too narrow. 8. Those who suffer from severe diseases of the heart, lung, liver, kidney, etc., metabolic acidosis, etc., and cannot tolerate it. 9. If the oral temperature measured before surgery is not lower than 37.5 degrees, the examination or surgery will be postponed.