What are the steps of cervical conization

summary

Conization of the cervix is widely used in clinic at present, and its popularity is also due to its many advantages. People do not need to be hospitalized after the operation, which avoids a lot of trouble. Let's talk about the steps of cervical conization.

What are the steps of cervical conization

First: 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. Nowadays, loop electrosurgical excision procedure (LEEP knife) has been widely carried out. Its advantages are that it is easy to operate, does not need hospitalization, and the operation time is short, only takes about 5 to 10 minutes.

Second: however, whether the cutting depth of LEEP knife is enough has been questioned, and because the medical community worried about the current damage to the cutting edge, it has not advocated the use of electric knife conization. However, in recent years, a large number of medical practice and clinical data concluded that the effect of electric knife conization and cold knife conization is equivalent, and less bleeding. There was no significant difference in the clearance and recurrence of the lesions between the two groups. The positive rate of cervical margin increased with the severity of cervical conization.

Third: Patients with positive margin of conization have a higher probability of disease progression and recurrence, but those with negative margin of conization can not guarantee that there is no residual disease in the remaining cervix. The incidence of residual disease is also proportional to the severity of the disease, but the chance of occurrence is lower than that of patients with positive margin of conization. Cervical gland involvement and multi centrality of the disease are the decisive factors for residual or recurrence of lesions after conization . In a word, circular electrosurgical cutting is the best taper cutting method because of its time-saving, simple, safe and cheap.

matters needing attention

In general, cervical conization is carried out through the scalpel, which can remove the foreign bodies in the cervix. And in the process of surgery with bleeding will be less, can better ensure the safety of the patient's life, the pathological tissue can do thorough cleaning, and is not easy to relapse.