Valle R F, Sabbagha R E
Obstet Gynecol. 1980 May;55(5):625-9.
Suction curettage is the procedure of choice for first trimester abortion. The basic preevaluation and follow-up standards for this operation have been adopted by most physicians. In some instances, however, follow-up assessment may be inadequate, particularly regarding the histopathologic evaluation of uterine contents. As a result, recognition of serious conditions such as ectopic pregnancy may be delayed. When a first trimester abortion fails, when scanty tissue is obtained, or when histopathologic examination demonstrates only decidual tissue, an extrauterine pregnancy or pregnancy in an anomalous uterus must be considered. Ultrasonography and endoscopic methods such as laparoscopy and hysteroscopy are invaluable in locating the site of the pregnancy and in preventing serious sequelae. The authors report the outcome of 25 women in whom abortion by suction curettage failed. A protocol outlining the methods used for diagnosis and therapeutic management is presented.
负压吸宫术是孕早期流产的首选方法。大多数医生都采用了该手术的基本术前评估和随访标准。然而，在某些情况下，随访评估可能不足，尤其是在子宫内容物的组织病理学评估方面。因此，可能会延迟对异位妊娠等严重情况的识别。当孕早期流产失败、获取的组织很少或组织病理学检查仅显示蜕膜组织时，必须考虑宫外妊娠或子宫异常妊娠。超声检查以及腹腔镜检查和宫腔镜检查等内镜方法对于确定妊娠部位和预防严重后遗症非常重要。作者报告了25例负压吸宫流产失败的女性的结果。本文还介绍了一份概述诊断和治疗管理方法的方案。
