什么是宫腔镜手术 术前术后有哪些要求与注意事项 李瑾瑜 杭州广仁医院 宫腔镜检查是从宫腔中插入宫腔镜，通过显示器观察子宫经管、子宫腔、输卵管开口的解剖形态和病理情况，在直视下准确的取出组织进行病理检查或者通过宫腔镜进行手术治疗。宫腔镜检查或者手术之前要做相关的准备：第一，一般宫腔镜检查在月经后的三到七天进行，要避免炎症期，有严重的阴道炎或者盆腔炎，要经过治疗以后才能进行。第二，宫腔镜检查常常是在麻醉下进行，所以手术前需要禁食水六个小时，以配合麻醉的需要。宫腔镜的检查手术后首先要注意阴道流血的问题。宫腔镜检查或者治疗以后，阴道会有少许的出血，一般情况下会少于月经量。如果出血比较多或者出血时间比较长超过正常的月经时间，要进一步到医院进行检查和治疗。手术后还要注意有没有腹痛的情况，宫腔镜检查过程中可能会导致子宫穿孔。宫腔镜检查可能会引起盆腔感染，如果手术后病人有肚子疼、发烧的情况也要到医院进行进一步的检查和治疗。 What are the requirements and precautions before and after hysteroscopy Hysteroscopy is the insertion of hysteroscopy from the uterine cavity, The anatomy and pathology of the opening of uterine tube, uterine cavity and fallopian tube were observed through the display, Under direct vision, take out the tissue accurately for pathological examination or through hysteroscopy for surgical treatment. Prepare for hysteroscopy or surgery: first, Hysteroscopy is usually performed three to seven days after menstruation, To avoid inflammation, There is severe vaginitis or pelvic inflammation, It can only be carried out after treatment. Secondly, Hysteroscopy is often performed under anesthesia, So we need to fast water for six hours before the operation, To meet the needs of anesthesia. After hysteroscopy, we should pay attention to the problem of vaginal bleeding. After hysteroscopy or treatment, There will be a little bleeding in the vagina, In general, it will be less than menstrual volume. If there is more bleeding or the bleeding time is longer than the normal menstrual period, We should go to the hospital for further examination and treatment. After the operation, pay attention to whether there is abdominal pain, Uterine perforation may occur during hysteroscopy. Hysteroscopy may cause pelvic infection, If the patient has stomachache and fever after the operation, he should go to the hospital for further examination and treatment.