What examinations should be done before uterine fibroid surgery? What preparations should be done before uterine fibroid surgery?

Uterine fibroids are the most common tumors of the female genitals. They can cause female infertility, miscarriage, frequent urination, urination disorders and other hazards, and are the main killer of women's health. So, what are the examinations before uterine fibroid surgery?

Diagnostic curettage is the most commonly used, simple and easy auxiliary diagnostic method in gynecology. Its basic requirements are to explore and understand the situation of the uterine cavity and scrape the endometrium for pathological testing. During diagnostic curettage, the depth, direction, deformation and submucosal fibroids of the uterine cavity are checked, and vaginal examination is assisted to determine the location of uterine fibroids and their impact on the uterine cavity. The following are five examinations before uterine fibroid surgery:

1. Ultrasound examination: B-ultrasound examination is a common method for diagnosing uterine fibroids, and the accuracy of fibroid identification can reach 93.1%. Ultrasound examination shows that the uterus is enlarged and irregular in shape; the number, location, size of fibroids, whether the fibroids are uniform or liquefied cysts; and whether there is compression of other organs around.

2. Uterine probe examination: Use a probe to measure the uterine cavity. Intramural fibroids or submucosal fibroids often enlarge and deform the uterine cavity. The uterine probe can be used to detect the size and direction of the uterine cavity. Compared with the double clinic, it helps to determine the nature of the mass and understand whether there is a mass in the cavity and its location.

3. Plain X-ray examination: When the tumor is calcified, it appears as scattered uniform spots, or a shell-like calcified capsule, or a rough, wavy, honeycomb-like edge.

4. Diagnostic curettage: Small submucosal fibroids or dysfunctional uterine bleeding, endometrial polyps are not easy to be found through biphasic diagnosis, and can be assisted by curettage. If it is a submucosal fibroid, the scraper feels the uterine cavity bulge, starts high and then slides, or feels something sliding in the uterine cavity. However, small submucosal fibroids are easy to slide and missed, which is the shortcoming of diagnostic curettage.

5. Hysterosalpingography: Ideal hysterosalpingography can not only show the number and size of submucosal fibroids, but also locate them. Therefore, it is very helpful for the early diagnosis of submucosal fibroids, and the method is simple. Photography of the fibroid site shows that the uterine cavity is incomplete.