Marenco M, Sarramon M F, Berrebi A, Bergis A, Kobuch W E
Services de Gynécologie-Obstétrique A.B.C., Hôpital la Grave, Toulouse.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(1):51-5.
This study has led to two conclusions: the first is that ultrasound examinations of the pelvis are often asked for immediately after termination of pregnancy because clinicians suspect there may be complications. On the other hand these ultrasound pictures are difficult to interpret and so often, therefore, curettage is carried out which in fact is not necessary. The authors describe a prospective study carried out on 144 cases of termination of pregnancy for which pelvic ultrasound was routinely carried out following termination of pregnancy. The results of this study show that there are several types of ultrasound pictures found immediately after termination of pregnancy; these contain some that can be considered to be reassuring and others that are doubtful. The conclusion depends on the answer to several questions: is it correct to carry out routine ultrasound immediately after termination of pregnancy and has it a real practical purpose? From this can one say that it is necessary to do an ultrasound after every termination of pregnancy? If not, are there special indications for the procedure?
第一个结论是，终止妊娠后，临床医生怀疑可能存在并发症，常常会立即要求进行盆腔超声检查。另一方面，这些超声图像难以解读，因此常常进行刮宫，而实际上这并无必要。作者描述了一项对144例终止妊娠病例进行的前瞻性研究，终止妊娠后常规进行盆腔超声检查。这项研究结果表明，终止妊娠后立即发现有几种类型的超声图像；其中一些可被认为是令人放心的，而另一些则令人怀疑。结论取决于几个问题的答案：终止妊娠后立即进行常规超声检查是否正确，它是否有实际用途？由此能否说每次终止妊娠后都有必要进行超声检查？如果不是，该检查程序是否有特殊指征？
