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인공임신중절에 있어서 Karman Cannula의 효용에 관한 임상적 연구
Karman cannula ; An Evaluation as an instrument for termination of pregnancies up to twelve weeks of gestaion
이효균(HG Lee)
UCI I410-ECN-0102-2009-510-005338539

1. the median age was 32.8 years and median number of living children was 3.1. Two third of the acceptors were between 30 and 39 years of age and had 2 to 3 living children. 2. Regarding their education level, 57% of them had grauduated high school or college. 3. More than half of the acceptors responded that their ideal number of children was three. 4. Among the patients 6 weeks or less from LMP composing 49.7 % of all acceptors, 14.4% were proved non-pregnant macroscopically. 5. During the procedure, anesthesia was not needed in the majority of cases and Trilene inhalation was needed in 5.1% of the total. 6. Exploring curettage immediate after uterine aspiration revealed that aspiration was complete in more than 85% of the patients 7 weeks or less from LMP, however it was incomplete in 29.4% of 8 weeks group and 48.3% of 9-12 weeks group. Therefore it was suggested that the use of karman cannula in the termination of pregnancy up to 7 weeks was simple safe, effective and acceptable procedure. 7. Overall complications rate was 4.4%. This includes 0.4% of cervical injury caused by toothed tenaculum, 1.4% of vomitting 0.3% of faintness 1 case of uterine perforation caused by post-aspiration metal curettage during the procedure, Besides 1.0% of mild pelvic infection 0.9% of persistant bleeding 0.2% of retained product of conception and 2 cases of ectopic pregnancies were also included.

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