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宫颈扩张与刮宫术(D&C)

ID: ANH00033chis
"医疗动画文字记录:医生会给你做宫颈扩张与刮宫术(D&C)来清除子宫内部组织。 子宫是位于下腹的一个肌肉发达的生殖器官。子宫的下半部分叫做子宫颈,连接阴道和子宫。诊断性刮宫可用于明确以下情况的原因:不正常的或大量的出血,严重的痛经,怀孕困难,或在巴氏涂片中发现异常细胞。治疗性刮宫可用于治疗某些子宫疾病,如出生后胎盘残留出血过多、宫颈或子宫息肉、子宫壁良性肌瘤、不完全流产或部分胚胎或胎儿或相关组织留在子宫内的流产。医生可能希望在手术前一天就开始扩张宫颈。如果是这样,医生会在子宫颈内放置一种软化药物或昆布条。昆布条通过吸收体内的液体慢慢膨胀,导致子宫颈打开。在这个过程中,你采取仰卧位,双腿放在马镫上,与标准的骨盆检查体位一样。将采取局部或全身麻醉。医生会将一个窥镜插入你的阴道,使阴道变宽,这样就能看到子宫颈。在宫颈扩张过程中,医生会将一系列平滑的宫颈棒插入宫颈口。每根宫颈棒都将被稍粗的宫颈棒取代,从而慢慢扩大或扩张宫颈口,从而能够进入子宫内部。一旦子宫颈扩大到6~9毫米,医生就可能会进行宫腔镜检查,即用带有光源和照相机的仪器检查子宫内部异常部位。接下来,医生会进行刮宫手术,即手术切除子宫内膜的一部分或全部。在刮宫过程中,会插入一种叫做刮匙的手术器械,通过刮或抽吸去除组织。如果是诊断性刮宫,医生只会取出一小部分子宫内膜样本,并将其送到实验室进行检测。如果你正在接受治疗性刮宫,医生会切除子宫的全部内容物来治疗子宫疾病。手术后,你将在恢复室接受几个小时的监护,然后才能回家。为了防止感染,两周内不要性交或使用卫生棉条,直到医生说这样做是安全的。因为子宫需要产生新的内膜,你的下一次月经期可能不会在正常时间发生。"
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