For women, if polyps or tumors appear inside the uterus, they need to be scraped out surgically. With the development of medical technology, the operation of this technology is now very mature. However, many patients still ask: Does endometrial scraping hurt? If the patient is concerned about pain, they can actually choose anesthesia. After all, this is also a surgery and it will be painful. General diagnostic curettage General curettage is a type of diagnostic curettage, which is suitable for endocrine abnormalities that require understanding of endometrial changes and responses to sex hormones, the presence or absence of ovulation, the presence or absence of tuberculosis, etc. Segmental curettage Fractional curettage is a type of diagnostic curettage, which means that the cervical canal is first scraped 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 malignancies, and can understand the range of the cancer. Suction scraping and forceps scraping Suction curettage is the use of a negative pressure suction tube to suck out the contents of the uterine cavity, while forceps curettage is the use of an oval forceps to remove the contents of the uterine cavity, followed by curettage. Both are therapeutic curettage. Indications for therapeutic curettage The indications for therapeutic curettage include: those who want to terminate the pregnancy in early pregnancy, suction curettage within 3 months of pregnancy, forceps curettage to remove residual materials in the uterine cavity after 3 months and after induced abortion; those who need to empty the uterine cavity for incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc. Contraindications include acute genital tract and pelvic inflammation, trichomoniasis and candidal vaginitis, and patients with severe medical diseases who cannot tolerate surgery. Precautions Understand the indications and choose the appropriate time and procedure for different diseases. The doctor must be skilled in the technique to avoid various unnecessary complications, such as uterine perforation, heavy bleeding, incomplete curettage, postoperative uterine adhesions, infection, etc. |
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