This study was undertaken for the clinical evaluation and treatment on 450 patients with ectopic pregnancy who were admitted and treated at Sanggye Paik Hospital From Aug. 16, 1989 to Dec. 31, 1993.
@ES The results were as follow:
@EN 1. The incidence of ectopic pregnancy was 1 in 36 delivery(450/16030).
2. The most common age group was 26~35 years of age(68.2%).
3. Nullipara was 29.3% and the cases who experienced artificial abortion was 64.2%.
4. According to past medical history of illness, previous laparotomy was noted in 23.8%, previous laparoscopic tubal sterilization in 19.3% and repeated ectopic pregnancy in 6.4%.
5. In clinical symptoms, low abdominal pain was encountered in 86.6%, amenorrhea in 77.8%, vaginal spotting in 54%.
6. In ultrasonographic findings on admission, fluid accumulation of Cul-de-sac was encountered in 71.1%, adnexal mass in 67.7%.
7. The sites of ectopic pregnancy were salpinxes in 442 cases(98.2%) and ovaries in 6 cases(1.3%). In the cases of tubal pregnancies, the lesions were most commonly located at the ampulla portions(330 cases 73.3%).
8. Laparotomy was done in 81.1%, pelviscopic operation in 7.3% and chemotherapy using methrotrexate in 1.8%.
9. Intraabdominal hemorrhage below 1000 cc in amount was 65.5%.
10. Average blood volume transfused was 1.6% pints(640cc).
11. There was no fatal case in 450 ectopic pregnancies.
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