局部麻醉下人工流产的并发症。

Complications of abortion performed under local anesthesia.

作者信息

Thonneau P, Fougeyrollas B, Ducot B, Boubilley D, Dif J, Lalande M, Soulat C

机构信息

Family Planning Center, Colombes Hospital, France.

出版信息

Eur J Obstet Gynecol Reprod Biol. 1998 Oct;81(1):59-63. doi: 10.1016/s0301-2115(98)00147-x.

DOI:10.1016/s0301-2115(98)00147-x

PMID:9846716

Abstract

OBJECTIVE

To assess the incidence of complications of abortion performed under local anesthesia.

DESIGN

Prospective study.

SETTING

A family planning center in the Paris area.

POPULATION

Eight hundred and fifty-eight women admitted for abortion under local anesthesia.

MAIN OUTCOME MEASURES

Incidence of immediate (the day of vacuum aspiration) and delayed complications (at the follow-up visit 2 weeks after the procedure).

RESULTS

Among the 858 women who underwent vacuum aspiration, 683 (80%) attended the follow-up visit 2 weeks after the procedure. Fifty-nine percent of the 858 women had not had a previous abortion, 25% had had one, and 16% had had two or more. The average duration of amenorrhea was 8.6 weeks (19% at 6 or 7 weeks, 67% between 8 and 10 weeks, and 14% after 10 weeks). The overall complication rate was 3.4% (23/683) (95% CI=2.0-4.8%). The incidence of immediate complications was 1.7% (15/858) (0.8-2.6%) and that of delayed complications 1.2% (8/683) (0.4-2.0%).

CONCLUSION

This study confirms the safety and efficacy of abortion by vacuum aspiration under local anesthesia.

摘要

目的

评估局部麻醉下人工流产并发症的发生率。

设计

前瞻性研究。

地点

巴黎地区的一家计划生育中心。

研究对象

858名接受局部麻醉下人工流产的女性。

主要观察指标

即刻（负压吸引当天）和延迟并发症（术后2周随访时）的发生率。

结果

在858例行负压吸引术的女性中，683名（80%）在术后2周进行了随访。858名女性中，59%既往未做过人工流产，25%做过1次，16%做过2次或更多次。平均闭经时间为8.6周（6或7周者占19%，8至10周者占67%，10周后者占14%）。总体并发症发生率为3.4%（23/683）（95%可信区间=2.0 - 4.8%）。即刻并发症发生率为1.7%（15/858）（0.8 - 2.6%），延迟并发症发生率为1.2%（8/683）（0.4 - 2.0%）。