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KMID : 0358419930360060818
Korean Journal of Obstetrics and Gynecology
1993 Volume.36 No. 6 p.818 ~ p.825
A Clinial Survery of Ectopic Pregnancy
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Abstract
This study is a clinical analysis of 104 ectopic pregnant patients who were admitted and treated at Department of Obstetrics and Gynecology, Dae Rim Saint Mary's Hospital from January 1, 1989 to December 31, 1991.
@ES The results obtained were as follows;
@EN 1. The incidence of ectopic pregnancy was 1 in 44.5 delivies (104/4627).
2. The most frequent age group was in 30~34 years of age, comparing 32.7%, 25~34 years 61.5%.
3. Nullipara was 28.8% and the cases who experienced artificial abortion was 75.0%.
4. According to past history of illness, artificial abortion was in 75.0%,. PID was in 22.1%, Laparoscopic tubal sterilization was 18.3%% of total.
5. The most frequent interval between L.M.P and the onset of symptoms was 8 weeks in 83.6%.
6. On symptomatological analysis, low abdominal pain was encountered in 93.2%, amenorrhea in 93.3%, vaginal spotting or bleeding in 75.0%.
7. In initial systolic blood pressure at hospital, under 70 mmHg was 5.7%, and over 110 mmHg was 53.8%.
8. The laboratory studies in most cases were not significant. Hemoglobin value over 10.0mg% was 65.4% and below 7.0mg% was 2.9%.
9. Urine hCG test was positive in 97.9% and culdocentesis was positive in 91.9%.
10. Ectopic pregnancy was implanted on the fallopian tube in 88.4%, on the uterine cornus in 10.6%, on the broad ligment in 1.0%.
11. Intraabdominal hemorrhage below 1000 cc in amount was 57.5%.
12. Most commonly used surgical procedure was salpingectomy(46.1%).
13. There was no fatal case in 104 ectopic pregnancy.
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