자궁외임신의 임상적 고찰

Abstract

A survey was doe of 796 patients with were admitted and treated at Department of Obstetrics and Gynecology, School of Medicine, Keimyung University between January 1, 1988 and December 31, 1992. The main results were as follows; 1. The incidence of ectopic pregnancy was one in twenty-five deliveries(796/20134). 2. The most frequent age group was in 30-34 years of age, comparing 34.5%, 25-34 years of 64.4%. 3. Nullipara was 31.5%, and the cases who experienced artificial abortion was 75.7%. 4. According to past history of illness, artificial abortion was 75.7%, laparoscopic tubal sterilization was 10.6% of total. 5. The laboratory studies in most cases were not significant. Hemoglobin value over 10.0mg% was 72.6%, and below 7.0mg% was 1.7%. 6. The most frequent interval between last menstrual period and the onset of symptom was 7-8 weeks in 35.8%. 7. On symptomatological analysis, lower abdominal pain was encountered in 84.5%, vaginal spotting or bleeding in 15.4%, shock in 0.1%. 8. Urine hCG test was positive in 86.0% & culdocentesis was positive in 81.7%. 9. Ectopic pregnancy was implanted on the fallopian tube in 97.5%, on the ovary in 1.6%, on the cervix in 0.3%. 10. Types of ectopic pregnancies were ruptured (37.9%), abortive (58.7%), intact (3.4%). 11. Most commonly used surgical procedure was salpingectomy (76.0%). 12. There was no fatal cases in 796 ectopic pregnancy. Key word : Ectopic pregnancy