This study is a clinical analysis of 101 ectopic pregnant patient who were admitted and treated at Department of Obstetrics and Gynecology, Chung Goo Sung Shim Hospital from June, 1, 1991 to May 31, 1993.
@ES The results obtained were as follows;
@EN 1. The incidence of ectopic pregnancy was 1 in 41.4 deliveries(101/4151).
2. The most frequent age group was in 30 ~34 years of age, comparing 32.7%, 25~34 years of 59.4%.
3. Nullipara was 24.8% and the cases who experienced artificial abortion was 75.2%.
4. According to past history of illness, artificial abortion was in 75.2%, PID was in 26.7%, Laparoscopic tubal sterilization was 17.8% of total.
5. The most frequent interval between L.M.P. and the onset of symptoms was 8 weeks in 74.3%.
6. On the symptomatological analysis, low abdominal pain was encountered in 95.0%, amenorrhea in 97.0%, vaginal spotting or bleeding in 77.2%.
7. In initial systolic blood pressure at hospital, under 70 mmHg was 9.0%, and over 100 mmHg was 55.4%.
8. The laboratory studies in most cases were not significant. Hemoglobin value over 10.0mg/% was 67.2% and below 7.0mg% was 5.0%.
9. Urine hCG test was positive in 96.0% and culdocentesis was positive in 92.6%.
10. Ectopic pregnancy was implanted on faillopian tube in 91.1 %, on the uterine cornus in 5.9%, on the ovary in 3.0%.
11. Intraabdominal hemorrhage below 1000cc in amount was 44.5%.
12. Most commonly used surgical procedure was salpingectomy (57.4%).
13. Desidua without chorionic villi was present in 64.7% of the cases studies.
14. The Arias-Stella phenomena was present in 28 (82.4%) of the 34 ectopic cases.
15. The ectopic pregnancies are demonstrated a slight increase in both vessel wall thickness(76.5%) and lumen size(82.4%).
16. None of the curettings associated with ectopic pregnancies displayed the intermediate trophoblastic cell.
17. There was no fatal case in 101 ectopic pregnancy.
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