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人工流産後 重症障害를 除外하고 惹起하는 後遺症에 對하여

대한산부인과학회지 1960년 3권 1호 p.126 ~ 131
김홍선 (  ) - 수도의대산부인과교실

Abstract


As the number of artificial abortion increases recently, there becomes great number of Ipati ents with various complaints, despite of perfect technique during procedure.
The author studied about post operative sequelae on 928 clinic patients (excluding severe disturbances, such as perforation of the uterus, massive bleeding, retained secondines, se}-ious infection), who received artificial abortion in the other hospital and visited author during the past 2 years (Jana a y 1958-November 1959). They are divided into two groups, subjective symptom and remote sequelae groups.
A. Subjective symptom group:
Incidence: 280 cases out of 928 total patients, 40. 95%. Of 380 cases;
1. Abnormality of menstruation, 42. 1%.
2. Pain etc. 36.6%. Approximately i- patients complained of lower abdominal pain, next common was lumbago.
3. Disturbance of alimentary system, 21.1 %.
B. Remote sequelae:
1. Miscarriage of pregnancy following operation.
Spontaneous miscarriage after operation was 214 cases out of 928 total cases, 23. 06%
2. Ectopic pregnancy following operation.
Of total ectopic pregnancy of 130 cases, 44 cases, were after artificial abortion. The inci-dence to total 928 cases of artificial abortion is 4.74±0.698%. There is significant difference
to compare with 0.96±0.103%, in ectopic pregnancy without preceeding artificial abortion.
Though abnormality of menstruation, disturbances of autonomic nerve system etc. Were yielded temporarily, they occured in considerable number after artificial abortion, and the more
artificial= abortion repeated, the more it resulted in those symptomes. The most important problem is the frequent occurence of miscarriage of pregnancy and ectopic pregnancy etc.
following the operation. The author believe that the operator should not only be Careful about organ damage during the procedure, but also avoid repeated operation as much as possible, considering above various subjective complaints and remote sequelae.

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