Why do you need to do cervical conization?
summary
Conization of the cervix is a kind of operation that conically excises part of the cervix from the outside to the inside. Authority believes that the amount of conization carried out in a hospital can reflect the treatment level of cervical cancer to some extent. But some patients don't understand, think will become cancer, simply cut the uterus, why suffer twice crime? Why do you need to do cervical conization?
Why do you need to do cervical conization?
On the one hand, the reason why it is called precancerous lesion indicates that it is not cancer after all. But if not treated, after a period of time (average 3-8 years) will become cancer. Moreover, "cervical lesions" in the final analysis is still the "cervix" itself, unless the development of advanced cervical cancer, generally will not hurt the uterus. Therefore, conization is sufficient in most cases, and there is no need to remove the uterus. For young women with cervical precancerous lesions, if hysterectomy, belongs to excessive treatment!
On the other hand, for some early stage of cervical cancer (professional term called IA1, IA2, or IB1), if direct hysterectomy, the result is found to be IA1 cervical cancer, of course, very lucky, because total hysterectomy is just right!. But if it's IA2 or IB1, it's a problem. In this case, hysterectomy alone is not enough, and some tissues beside the uterus should also be removed (i.e. extended hysterectomy). At this time to do remedial surgery is very difficult, very easy to damage.
Therefore, for patients with cervical intraepithelial neoplasia grade 2-3 diagnosed by colposcopic biopsy, conization is generally required for comprehensive evaluation or treatment. For colposcopic biopsy report of carcinoma in situ, not excluding invasion or the depth of invasion is not clear, it is more important to determine the depth of invasion by conization.
matters needing attention
The treatment after cervical conization is as follows: 1. Use antibiotics and hemostatic drugs to prevent infection and bleeding. 2. There may be a little bloody secretion in the wound after operation, which need not be treated. If there is more bleeding, gelatin sponge, hemostatic powder or gauze can be used for compression hemostasis, and suture can be used when necessary. 3. In general, the wound is covered by mucous membrane 5-6 weeks after operation. At this time, the uterine probe can be used to probe the cervical canal. If cervical canal stenosis is found, it can be dilated with a small dilator to facilitate menstruation.
