Diagnostic curettage is divided into general diagnosis curettage and sectional diagnosis curettage. General diagnosis and curettage, for endocrine abnormalities need to understand the changes of endometrium and the response to sex hormones, whether ovulation, tuberculosis and other symptoms. Scraping the cervical canal before curettage of the uterine cavity during the operation of phased diagnosis and curettage is suitable for the diagnosis of cervical cancer, endometrial cancer and other uterine malignant tumors, and the scope of the cancer can be understood. Diagnostic curettage of uterus by curettage endometrium for pathological examination, to determine whether the ovary has ovulation, ovarian hormone levels. When abnormal uterine bleeding occurs, curettage can not only play a diagnostic role, but also play a therapeutic role, because the purpose of hemostasis is often achieved after curettage. Endometrium shows secretory phase suggesting ovulation, endometrium shows proliferative phase suggesting anovulation. Sexual intercourse is forbidden before and within one week after curettage to prevent infection. Antibiotics can be used to prevent infection if necessary. A week's rest should be given after curettage.
Indications are as follows:
1. Judging the types of menstrual disorders
Anovulatory dysfunctional uterine bleeding (to know whether ovarian ovulation): before menstruation or within 12 hours of menstruation.
Insufficient corpus luteum function: menstruation within 12 hours.
Corpus luteum atrophy: the fifth day of the menstrual cycle.
2. Check the cause of infertility (understanding ovarian function, whether ovulation): before menstruation or within 12 hours of menstruation.
3. Abnormal uterine bleeding (abnormal postmenopausal bleeding), highly suspected malignant lesions: at any time as soon as possible, but if scraped out tissue naked eye examination has been highly suspected of malignant lesions, timely stop surgery, and do not excessive curettage, in order to avoid causing massive bleeding, u