Pierotic M, Silva S, Rojas I, Henríquez R, Poblete A
Servicio de Obstetricia, Ginecología y Neonatología, Hospital Dr. Sótero del Río.
Rev Chil Obstet Ginecol. 1994;59(2):73-7; discussion 77-8.
A hundred cases of consecutive missed abortion under expectant management are analysed. The average age for these patients was 29.1, 81% were multiparous, and in 65% of the cases they were not using any contraceptives in the last year. The mean score for haematocrit has no variations. These cases were resolved in an average of 12.8 days. In 42% of the cases, the abortion is complete and with no need for instrumentation. In 43% of the cases, curettage is necessary but in only 7% dilatation is necessary. In 16% of the cases there are some types of complications but in only 1% it is serious, not by the expectant management. Concluding that the conservative management in missed abortion cases represents a good alternative focussing classic dilatation and curettage in selected patients in which you can obtain an adequate continuation and subsequent control.
对100例连续进行期待治疗的稽留流产病例进行了分析。这些患者的平均年龄为29.1岁,81%为经产妇,65%的病例在过去一年未使用任何避孕措施。血细胞比容的平均评分无变化。这些病例平均在12.8天内得到解决。42%的病例流产完全,无需器械操作。43%的病例需要刮宫,但仅7%的病例需要扩张宫颈。16%的病例有一些并发症类型,但只有1%的病例并发症严重,并非由期待治疗引起。结论是,稽留流产病例的保守治疗是一种很好的选择,对于选定的患者可重点进行经典的扩张刮宫术,从而能够实现适当的后续妊娠及后续监测。