Pay attention to the early treatment of cervical precancerous lesions

According to clinical research results, the cause of cervical precancerous lesions is mainly related to women's living habits. Bad living habits make women easily contract this kind of disease. Cervical precancerous lesions require a long time of treatment. If you unfortunately suffer from this kind of disease, what are the effective treatment methods in daily life? Let's discuss it together.

1. Treatment principles

1. Atypical hyperplasia: If the biopsy shows mild atypical hyperplasia, it should be temporarily treated as inflammation, and follow-up scrapings should be performed for half a year and biopsy should be performed if necessary. If the lesion persists, observation can be continued. For patients diagnosed with moderate atypical hyperplasia, laser, freezing, and electric ironing should be used. For severe atypical hyperplasia, total hysterectomy is generally recommended. If fertility is urgently required, regular and close follow-up can also be performed after cone excision.

2. Carcinoma in situ: It is generally recommended to perform a total hysterectomy and retain both ovaries; some people also advocate removing 1 to 2 cm of the vagina at the same time. In recent years, laser treatment has been used both at home and abroad, but close follow-up is required after treatment.

2. Surgical treatment

Radical hysterectomy and pelvic lymph node elimination are used. The removal range includes the entire uterus, bilateral adnexa, upper vagina and paravaginal tissue, and pelvic lymph nodes (paracervical, obturator, internal iliac, external iliac, and lower common iliac lymph nodes). The operation must be thorough and safe, with strict control of indications to prevent complications.

3. Surgical complications and their management

1. Surgical complications include intraoperative bleeding, postoperative pelvic infection, lymphocele, retention, urinary tract infection and ureterovaginal fistula.

2. Treatment of surgical complications. In recent years, the incidence of the above complications has been significantly reduced due to improvements in surgical methods and anesthesia techniques, the use of preventive antibiotics, and the use of extraperitoneal negative pressure drainage after surgery.

4. Radiation therapy

It is the first choice for the treatment of cervical precancerous lesions. It can be applied to cervical precancerous lesions of all stages. The radiation range includes the cervix and the affected vagina, uterine body, paracervical tissue and pelvic lymph nodes. The irradiation method generally adopts a combination of internal and external irradiation.

5. Chemotherapy

So far, cervical precancerous lesions are insensitive to most anticancer drugs, and the effectiveness of chemotherapy does not exceed 15%. Advanced patients can adopt comprehensive treatments such as chemotherapy and radiotherapy. Chemotherapy drugs such as 5-fluorouracil and doxorubicin can be injected intravenously or locally.

The above is a detailed explanation of the main treatment methods for cervical precancerous lesions. I hope it can help patients. Cervical precancerous lesions are not a terminal illness. Patients should not be discouraged. They must follow the doctor's instructions and seek medical treatment in time. The most important thing is to reject all bad habits.