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经宫颈羊膜外利凡诺注入术作为一种避免妊娠终止并发症的方法

[Transcervical extraamniotic Rivanol instillation as a method of avoiding complications in pregnancy interruption].

作者信息

Barthel R, Stockhammer P, Haensel W

出版信息

Fortschr Med. 1978 Sep 21;96(35):1767-70.

PMID:738689
Abstract

The number of abortions performed is steadily increasing. According to information available to date from the Federal Statistics Office in the Federal Republic of Germany, pregnancies are still largely terminated by means of cervical dilatation with Hegar dilatators and subsequent curettage. Almost half of all abortions are performed in young women who have not yet given birth. In a great number of cases these patients have a gracile, rigid cervical os which has to be opened abruptly in a few minutes with Hegar's dilatators, often under asserting quite some force. This can result in lacerations of the cervix, cervical insufficiency, inflammation and cicatrization. The transcervical extraamnial Rivanol instillation seems to be a method for avoiding these early and the serious late complications ensuing. Using this method--an alternative to the Prostaglandine application, with its even more serious secondary effects and contraindications--the highest possible degree of success can be achieved in avoiding cervical injuries and in reducing inflammation in the pelvis minor to a minimum, which could later on lead to sterility.

摘要

人工流产的数量正在稳步上升。根据德意志联邦共和国联邦统计局目前掌握的信息,妊娠终止在很大程度上仍采用海格扩张器扩张宫颈并随后刮宫的方式。几乎一半的人工流产是在尚未生育的年轻女性中进行的。在大量病例中,这些患者的宫颈口纤细、僵硬,必须在几分钟内用海格扩张器强行突然打开,通常需要相当大的力气。这可能导致宫颈撕裂、宫颈机能不全、炎症和瘢痕形成。经宫颈羊膜外利凡诺尔注入似乎是一种避免这些早期及随之而来的严重晚期并发症的方法。使用这种方法——这是一种替代前列腺素应用的方法,后者有更严重的副作用和禁忌证——在避免宫颈损伤以及将盆腔轻度炎症降至最低程度方面可取得尽可能高的成功率,而盆腔轻度炎症日后可能导致不孕。

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