5641例真空吸引刮宫门诊流产报告。
Report on 5641 outpatient abortions by vacuum suction curettage.
作者信息
Morgentaler H
出版信息
Can Med Assoc J. 1973 Dec 15;109(12):1202-5.
A technique of ambulatory abortion for first trimester pregnancies by vacuum suction curettage under local anesthesia with intracervical block is described. The apparatus and relevant problems are discussed. A shortened speculum devised by the author and considered an improvement for this procedure, and a simplified sterile field are described. The complication rate of 0.48% based on 5641 reported cases is very low: there were no deaths, two cases of uterine perforation, 14 of incomplete abortion, 20 of infection, 1 of depression, no cervical lacerations; 27 patients were hospitalized. The advantages of this method are safety, simplicity, minimal blood loss and immediate recovery. It is preferable to the usual dilatation and curettage, does not require general anesthesia and can be used in small clinics or in hospitals on an ambulatory basis.
本文描述了一种在局部麻醉下经宫颈阻滞进行真空吸引刮宫术用于早期妊娠门诊流产的技术。讨论了该设备及相关问题。介绍了作者设计的一种缩短窥器，认为这是该手术的一项改进，以及简化的无菌操作区域。基于5641例报告病例，并发症发生率为0.48%，非常低：无死亡病例，2例子宫穿孔，14例不全流产，20例感染，1例抑郁，无宫颈裂伤；27例患者住院治疗。该方法的优点是安全、简单、失血极少且恢复迅速。它优于常规的扩张刮宫术，无需全身麻醉，可在小型诊所或医院门诊使用。
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