Munsick R A
Obstet Gynecol. 1982 Dec;60(6):738-41.
Results of menstrual aspirations in 300 consecutive patients were analyzed. The infection rate (1.4%) and incomplete abortion rate (1.4%) were acceptably low. Results support previous recommendations that pregnancy tests be positive before aspiration, and that it should be restricted to women with 7 or fewer weeks of amenorrhea. A method is described of grossly assessing the aspirate for placenta along with a microscopic method when the gross test is questionable or negative. When hemorrhage occurs 3 to 6 days after aspiration, provided that the placenta was recognized grossly, curettage is usually unnecessary. With bed rest, bleeding subsides in 12 to 24 hours. The placental tests were found to by nearly 100% reliable and their use improves not only the practice of early abortion but also the diagnosis and management of suspected ectopic pregnancy and problematic situations in which tissue is passed vaginally.
对连续300例患者的吸宫术结果进行了分析。感染率（1.4%）和不全流产率（1.4%）低至可接受水平。结果支持先前的建议，即吸宫术前妊娠试验应为阳性，且应仅限于闭经7周或7周以内的女性。本文描述了一种在肉眼检查有疑问或为阴性时，对吸出物进行胎盘大体评估的方法以及一种显微镜检查方法。当吸宫术后3至6天发生出血时，若肉眼已识别出胎盘，通常无需刮宫。通过卧床休息，出血会在12至24小时内消退。发现胎盘检查的可靠性接近100%，其应用不仅改善了早期流产的操作，还改善了疑似异位妊娠以及经阴道排出组织的疑难情况的诊断和处理。
