Adinma J I, Adinma E
Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
J Natl Med Assoc. 1996 Jan;88(1):22-4.
The charts of 340 patients who underwent an endometrial suction procedure using Karman's cannula and syringe were reviewed. The therapeutic uses of this instrument were for the treatment of chronic endometritis (18.6%), the evacuation of incomplete or missed abortion (14.6%) and hydatidiform mole (0.8%), and the retrieval of the missing tail of an intrauterine contraceptive device (1.2%). Its diagnostic indications include: the investigation of infertility (55.3%), dysfunctional uterine bleeding (8.7%), and postcoital bleeding (0.8%). The diagnostic yield of the instrument was 96.6%. Transient postoperative abdominal pain occurred in 65.9% of the cases while cervical dilatation preceded aspiration in 12.9% of the cases with cervical stenosis. The advantages of the instrument are discussed and its usefulness in everyday gynecological practice highlighted.
回顾了340例使用卡曼套管和注射器进行子宫内膜抽吸术患者的病历。该器械的治疗用途包括治疗慢性子宫内膜炎（18.6%）、清除不完全流产或稽留流产（14.6%）及葡萄胎（0.8%），以及取出宫内节育器缺失的尾丝（1.2%）。其诊断适应证包括：不孕症检查（55.3%）、功能失调性子宫出血（8.7%）和性交后出血（0.8%）。该器械的诊断成功率为96.6%。65.9%的病例术后出现短暂腹痛，12.9%宫颈狭窄的病例在抽吸前进行了宫颈扩张。讨论了该器械的优点，并强调了其在日常妇科实践中的实用性。
