目的：利用已有证据评估MVA技术；了解MVA的手术操作情况；了解服务提供者对MVA技术、培训和推广的评价。  方法：文献研究：采用系统评价评估MVA技术。定量研究：按照纳入排除条件选择服务提供者各试用10例或更多例MVA操作并填写观察记录，以及培训前、培训后、试用后问卷。使用SPSS软件进行统计分析。定性研究：按照纳入排除条件选择访谈对象，采用深入访谈的方式进行信息挖掘。使用NVIVO软件进行分析。 结果：①系统评价纳入14篇文献。结果显示：MVA具有与EVA相似的有效性、安全性和可接受性，且MVA具有更少的术中出血量、更少的RAAS发生率、更加优良的技术特性，但有较多的操作人员认为MVA比较困难。②MVA试用方面：共接收1014名人工流产妇女实施MVA手术，完全流产率为99.8%（1012/1014）；全麻者616例（60.9%），局部麻醉者155例（15.3%），无麻醉者240例（23.7%）；手术时间中位数为2.50分；宫颈未扩张者729例（72.0%）；746（79.6%）例手术使用单一型号吸管即可完成手术，且408（67.0%）例吸引2次即可完成手术；不同麻醉方式下的疼痛得分不同（P＜0.001）；且流产妇女对MVA的接受性很高。③MVA技术评价方面：定量研究共回收来自34家医疗机构的107套问卷。结果显示：试用后有更多的操作者认为出血少是MVA最突出的优势（P=0.007），更少者认为无需扩张宫颈是MVA最突出的优势（P=0.019）。定性研究共纳入30名被访谈者，其中访谈者提及了多项MVA技术的优势，同时也提出了部分顾虑和建议。④MVA培训方面：定量研究：培训前了解MVA者很少；服务提供者在培训中的参与度及对培训的满意度都很高；试用后绝大多数认为引入MVA前对服务提供者的培训是必要的。通过定性研究深入访谈探索出了几种培训模式以及深入的培训建议。⑤MVA推广方面：定量研究：服务提供者评价了开展MVA对医院及医务工作者可能产生的积极影响和负面影响，以及开展该技术需要得到的支持，并提出了对促进MVA知晓的看法。定性研究：通过深入访谈探索出了MVA技术的推广方式、引入医院的流程，并评估了在技术推广中可能遇到的挑战。  结论：MVA技术具有优良的特性，有必要推广MVA技术，且须配合行之有效的推广方法，同时应积极应对来自各方面的压力和挑战，方可最终实现MVA技术的普及。 

Objective:Evaluate MVA with existed evidences.To describe the operation information of MVA and evaluation of MVA from patients, and get the information about the evaluation of training,technology and popularization of MVA from service providers.   Methods:A Systematic Review was conducted to evaluate MVA. Quantitative research：Service providers were chosen to try out 10cases of MVA or more and then fill the observation questionnaires as well as the questionnaires before\after the training and after the clinical trials.SPSS software was used to conduct statistical analysis.Qualitative research:Select the interviewees according to the criteria and take deep interviews with the service providers.NVIVO software was used to conduct analysis. Results: ①14 trials were included. MVA has the similar effectiveness, safety, technical characteristics and acceptability compared to EVA , what is more MVA could reduce blood loss and the incidence of RAAS and it has better technical characteristics. However, more physicians consider MVA to be difficult. ②Clinical trial of MVA:1014women were recruited to undergo MVA operations. Complete abortion rate was 99.8%(1012/1014). The numbers of women underwent general anesthesia and local anesthesia and without anesthesia were 616(60.9%),155(15.3%),240(23.7%) respectively. The median of operation time was 2.50minutes. The number of operations without cervical dilation was 729(72.0%). 746(79.6%)cases were operated only with one single type of sucker, what was more, in which 408（67.0%）cases were finished by only 2 times of aspiration. The pain scores of women with different anesthesia methods were different (P＜0.001). The acceptability of MVA was high. ③Evaluation of MVA technology: 107sets of questionnaires from 34clinical organizations were collected in the quantitative research which shows that there were more operators supporting the idea that less bleeding was the most eminent advantage of MVA(P=0.007) and less operators supporting the idea that no need to dilate cervical was the most eminent advantage of MVA(P=0.019).30interviewees were recruited into the qualitative research, in which interviewees mentioned many advantages of MVA as well as some misgivings and advises. ④MVA training: Quantitative research:Service providers knew little about MVA before the training. They actively participated in the training and were very satisfied with the training. Most of them considered it to be important to conduct the training before MVA was introduced into the clinical organizations.Interviewees proposed several training models and profound suggestions in the qualitative research. ⑤MVA popularization: Quantitative research:Service providers estimated the possible positive and negative influences on hospitals and doctors when MVA was introduced into the hospitals. They also mentioned the needed support for the implementation of MVA and proposed suggestions to promote the awareness of MVA. Qualitative research:Interviewees proposed the popularization method of MVA , the introduction procedure into the hospital and the possible challenges in the popularization of MVA. Conclusion:MVA has excellent characters. It is necessary to popularize MVA with effective methods and deal with the stresses and challenges properly to finally achieve the popularization of MVA .