How is cervical conization going on

summary

My best friend has always been easy to get gynecological diseases. After getting sick several times in recent years, the doctor suggested cervical conization. So, what's the matter with cervical conization? Let's talk about it.

How is cervical conization going on

First of all, cervical conization is a kind of operation in obstetrics and gynecology to remove the cervix, that is to cut part of the cervical tissue in a conical shape from the outside to the inside. On the one hand, it is for pathological examination to confirm the cervical lesions; on the other hand, it is also a kind of treatment method to remove the lesions.

Secondly, cervical conization is performed by scalpel (cold knife conization) at the beginning. The advantage is that the cutting edge is clear, which is conducive to pathological examination. The disadvantages are hospitalization, anesthesia, long operation time and easy to bleeding. However, now it is mainly cervical loop electrosurgical excision procedure (LEEP knife as we usually call it). The advantage is that it is simple and convenient, and there is no need for hospitalization treatment, especially the operation time is very short.

Surgical indications: 1. Cervical smear cytology examination found many times there are malignant cells, colposcopic examination without abnormalities, cervical biopsy or segmental diagnosis, curettage tube negative, should be conization of the cervix for further diagnosis. 2. Cervical biopsy has been confirmed as high-grade cervical intraepithelial lesions (HSIL, including cinii-iii, cervical carcinoma in situ), cervical adenocarcinoma in situ, and micro invasion of cervical cancer (cervical cancer IA1) is found under the microscope. In order to determine the scope of operation, cervical conization can be performed first, and cervical tissue can be cut for further pathological examination, so as to determine the extent of lesions and guide the selection of operation scope. 3. Cervical adenocarcinoma is suspected, but cervical biopsy or curettage tube is negative. 4. For Chronic Cervicitis Patients with cervical hypertrophy, hyperplasia and valgus, if conservative treatment is ineffective, small-scale cervical conization can be used.

matters needing attention

Cervical conization, in two months is not sexual life, to prevent bleeding or wound infection, at the same time, pay attention to vulva cleaning, so as to avoid postoperative infection, bleeding in time to the hospital to stop bleeding.