What does hysteroscopy check?

There are many devices in the hospital that are used to check various diseases in the human body. I believe that many people do not have a deep enough understanding of the hospital, and people do not know what most of the equipment and robots are used for. After some women go to the hospital, the doctor asks her to check the hysteroscopy. At this time, some women may feel very confused. What exactly is the hysteroscopy used to check? Let me give you a detailed introduction below.

1. Subjects

Take the lithotomy position, disinfect the vulva and female private parts, lay sterile towels, expose the cervix with a female private part speculum, disinfect the female private parts and cervix again, clamp the cervix with a cervical clamp, use a probe to understand the depth and direction of the uterine cavity, and dilate the cervix to a size half the diameter of the outer sheath of the mirror.

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

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, simple surgical procedures can be performed immediately after the diagnosis is confirmed, such as IUD incarceration, easily resectable endometrial polyps, and endometrial biopsy.

1. Abnormal uterine bleeding before and after menopause.

2. Abnormal uterine sonographic findings (B-ultrasound, HSG, etc.).

3. Diagnose or decide whether submucosal fibroids or endometrial polyps can be removed through the cervix.

4. To investigate the cervical and/or intrauterine factors that may lead to infertility, habitual miscarriage, and pregnancy failure.

5. Oligomenorrhea or amenorrhea.

6. Locate or attempt to remove a lost IUD.

7. Diagnose uterine cavity malformation and uterine adhesion and try to separate them.

8. Early diagnosis of cervical cancer and endometrial cancer.