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姙娠前期人工中絶時에 前處 置로서 小 Bougie 揷入의 意義

THE SIGNIFICANCE OF SHORT BOUGIE INSERTION AS PREP ARATION FOR ARIFICIAL ABORTION IN EARLY STAGE OF PREGNANCY

대한산부인과학회지 1960년 3권 1호 p.56 ~ 61
구임회,
소속 상세정보
구임회 (  ) - 수도의과대 산부인과 교실

Abstract


During the past three years the author applied insertion of a short bougie (length 7-8cm, diameter 0.8cm) for 24 to 48 hours before evacuation of uterine content on 110 cases of´ early pregnant patients who were medically indicated for interruption of the pregnancy (multigravida 100, primigravida 10 cases,2-3 months of.. gestation 105, 4 months of gestation 5 cases). 0.2 Gm of Quinine, every 2-3 hours by mouth was given following bougination and removal of uterine content was performed thereafter. The result is as follows:
1) Condition of patients after insertion of bougie.
a. 8% of patients had lower abdominal pain, no pain in 92% of patients.
b. Two cases showed slight bleeding in 110 cases.
c. No fever or other symotom was noted.
2) Condition during operation:
a. 86.4% required a small doses of anesthesia, 13.6% received no anesthesia:
b. Dilatation of ´ the cervix was easy in all cases.
b. Three cases showed moderate bleeding during the procedure, 2.7 % .
3), Condition after operation
a. There was slight bleeding after operation, which stopped within week.
b. Only. One case of 110 patients required recurettage (0.9%).
The conventional method for evacuation of the uterine content tends to lave -difficulty in dilatation of the cervix, relatively heavy bleeding, requirement of recurettage due to retained secondine, cervical laceration, perforation of the uterus.. But the preparation by short bougie insertion may avoid above risks.

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