Curettage is a surgical procedure that involves scraping the uterine wall or the contents of the uterine cavity. Minimally invasive surgery is commonly performed in obstetrics and gynecology and is one of the methods of abortion. It is divided into two categories: diagnostic curettage (commonly known as curettage) and therapeutic curettage. Possess certain risk factors and complications. Blood pressure curettage is divided into general curettage and segmental curettage. General curettage is suitable for endocrine abnormalities, such as understanding the changes in the uterine wall and its response to estrogen, whether there is ovulation, and whether there is tuberculosis. Segmental curettage refers to the operation of first scraping the cervical canal and then the uterine cavity. The scrapings are sent for pathological examination separately. It is suitable for diagnosing cervical cancer, endometrial cancer and other uterine malignant tumors, and can determine the scope of cancer. Blood therapeutic curettage can be divided into suction curettage and forceps curettage. Suction curettage is the use of air pressure plastic straw to suck out the contents of the uterine cavity, and forceps curettage is the use of oval forceps to remove the contents of the uterine cavity, followed by another curettage. The scope of application of therapeutic curettage includes: those who require termination of pregnancy in the early stage of pregnancy, suction curettage within 3 months of pregnancy, forceps curettage to remove residual materials in the uterine cavity after 3 months of pregnancy and after induced abortion; those who need to completely drain the uterine cavity for incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc. Contraindications include acute genital and pelvic inflammation, trichomoniasis and candidal vaginitis, and patients with severe medical diseases who cannot undergo surgery. FAQ: Grasp the scope of application and choose appropriate time and procedure for different diseases. The doctor must be skilled in technology to prevent various unpredictable complications, such as uterine perforation, internal bleeding, incomplete curettage, postoperative uterine adhesions, infection, etc. Because the uterine wall is injured after curettage, vaginal bleeding will occur within two weeks after the operation. Generally, the blood volume is lower than or similar to the menstrual volume, which is normal. If the blood has not stopped for more than two weeks or the blood volume during the period exceeds the menstrual volume, please go to the hospital for medical treatment immediately. |
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