Smid I, Bedö T
Zentralbl Gynakol. 1978;100(14):916-20.
The authors examined data of 160 cases of puerperal curettage. The histological examination proved placental residue in 15,61 per cent, decidual residue in 65,61 per cent of the patients. It was a very important finding that the histological examination proved the presence of acute (66 patients), subacute and chronic (23 patients) inflammation, but the patients had no symptoms that would indicate endometritis. 71,86 per cent of the curettage were performed in the 2nd to 4th week of puerperium. Follow-up examinations were made in 69 patients in a period up to 1--5 years after the post-partal curettage. Out of the 69 patients only 14 were free of complications, 32 of them had amenorrhoe or hypomenorrhoe, 20 suffered from Asherman's syndrome (intrauterine synechiae).--49 of the patients intended delivery, but 22 were infertile. The authors' own principles on the treatment and prevention of puerperal hemorrhage are also summed up.
作者检查了160例产后刮宫病例的数据。组织学检查证实，15.61%的患者存在胎盘残留，65.61%的患者存在蜕膜残留。一个非常重要的发现是，组织学检查证实存在急性炎症（66例患者）、亚急性和慢性炎症（23例患者），但患者并无表明患有子宫内膜炎的症状。71.86%的刮宫手术在产褥期的第2至4周进行。对69例患者在产后刮宫后的1至5年进行了随访检查。在这69例患者中，只有14例没有并发症，其中32例出现闭经或月经过少，20例患有阿谢曼综合征（宫腔粘连）。49例患者有生育意愿，但22例不孕。作者还总结了自己关于产后出血治疗和预防的原则。
