Resumen

OTTONIEL, Vilela; COLMENARES, Belkis  y  SILVA, Daicy. Legrado uterino como terapia coadyuvante en el tratamiento de la preeclampsia severa. Rev Obstet Ginecol Venez [online]. 2007, vol.67, n.2, pp.87-92. ISSN 0048-7732.

Objective: To evaluate the evolution of patients complicated with severe preeclampsia after realization of uterine curettage immediately after obstetrical resolution (vaginal delivery o cesarean section). Method: Cuasi experimental, prospective and longitudinal study. Patients were randomly divided into 2 groups: 32 controls y 32 of study. Uterine curettage was performed after resolution and evaluation of signs and symptoms of preeclampsia and laboratory parameters was done. Setting: Maternidad Santa Ana. IVSS, Caracas. Results: At admission it was established that both groups were homogeneous and comparable, with out significat statistical differences: P>0.05. At the evaluation of the control (C) and the study (E) groups at 6, 12, 24 and 48 hours post curettage, it was found a systolic (C: 151.8 mmHg, E: 137.7 mmHG) and diastolic arterial pressure (C: 97.2 mmHg, E: 90.3 mmHg); progressive reduction of proteinuria until 48 hours (C: 34 % normal, 47 % trace and E: 93, 7 % normal, 6 % trace); edema reduction (C: 84 % grade I, 16 % grade III y E: 100 % grade I); improvement of osteotendinous reflexes (C: 84 % exalted, 16 % normal and E: 100 % normal) and other neurological manifestations evaluated at 12 hours: cefalea, epigastralgia, escotomas, tinitus. There were complications 56.25 % (18 patients) in the control group and 21.88 % (7 patients) in the study group. Conclusion: The uterine curettage performed immediately after delivery, helps to a more accelerated recuperation of the clinical manifestations of preeclapsia like: arterial blood pressure, edema, gastrointestinal and neurologycal symptoms, as well as proteinuria.

Palabras clave : Uterine curettage; Preeclampsia; Proteinuria.