인공유산후 중증 장해를 제외하고 야기하는 후유증에 대하여 = The Sequelae Following Artificial Abortion Excluding Severe Complication

다국어 초록 (Multilingual Abstract)

As the number of artificial abortion increases recently, there becomes great number of patients 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, serious infection), who received artificial abortion in the other hospital and visited author during the past 2 years (January 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 1/2 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 incidence 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 menstuation, 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