Meyer J H
Am J Obstet Gynecol. 1983 Sep 15;147(2):202-7. doi: 10.1016/0002-9378(83)90116-3.
This report documents the results of an ongoing study of the first 454 consecutive outpatient abortions by menstrual extraction technique performed by the author over a span of 8 years. All patients had positive preevacuation pregnancy tests and the procedure was employed up to 9+ weeks from the first day of the last menstrual period. All procedures were carried out in an outpatient setting under local anesthesia. Pathologic evaluation revealed decidua and villi in all but 10 cases. Major complications were encountered in 2.6% of cases and in only two was laparotomy necessitated--one for a ruptured corpus luteum cyst and the other for an unruptured ectopic cornual pregnancy. The current application for the procedure is suggested by its technical simplicity and relative safety in population presenting for early termination of pregnancy.
本报告记录了作者在8年时间里采用月经提取技术连续进行的前454例门诊人工流产手术的研究结果。所有患者术前妊娠试验均呈阳性，手术在末次月经首日起9周多内进行。所有手术均在门诊局部麻醉下进行。病理评估显示，除10例病例外，其余均有蜕膜和绒毛。2.6%的病例出现了严重并发症，仅两例需要进行剖腹手术——一例是黄体囊肿破裂，另一例是未破裂的输卵管间质部妊娠。鉴于该手术技术简单且在寻求早期终止妊娠的人群中相对安全，建议目前应用该手术。
