This retrospective study was undertaken for the clinical evaluation and statistical analysis on the 760 cases of the ectopic pregnancies who were managed and confirmed histopathologically at the Department of Obstetrics and Gynecology, Kwangju
Christian
Hospital during the period from Jan. 1, 1989 to Dec. 31, 1994.
@ES The results obtained were as follows:
@EN 1. The incidence of ectopic pregnancy was 1 in 26.9% deliveries.
2. The most frequent age group was in 26~30 years of age.
3. Nullipara was 26.7% and the case who experienced artificial abortion was 74.1%.
4. According to past history of illness, laparoscopic tubal sterilization was seen in 12.1%, PID in 7.2%, repeated ectopic gestation in 3.4%.
5. On symptomatological analysis, lower abdominal pain was encountered in 95.6%, vaginal spotting in 62.1% and amenorrhea in 85.1%.
6. The most frequent missed period was 8th week in 22.6%.
7. Hemoglobin value over 10.0mg/dl was in 73.9% and below 8.0mg/dl in 5.6%.
8. Initial systolic pressure above 100 mmHG was in 79.3%, the mean value was 103.5mmHG.
9. Urine HGG test was positive in 91.5%, culdocentesis in 93.4%, USG finding in 84.3% and diagnostic laparoscopy in 95.8%.
10. As to implantation site, ampulla was in 83.6%, fimbria in 6.6%, isthmus in 5.5%, interstitium in 2.1%, ovary in 1.7%, cervix in 0.2% and abdomen in 0.3%.
11. Type of ectopic pregnancies was ruptured one in 52.3%, and abortive one in 47.6%.
12. 52.0% of all cases received transfusion.
13. 88.2% of all cases was treated with salpingectomy, 1.0% with total hysterectomy, 1.0% with fimbrial evacuation, 0.6% with salpingotomy or salpingostomy, 5.4% with laparoscopic operation, 0.1% with local infiltration of methotrexate and 0.1%
with
foley catheterization into the cervical canal.
14. Of 760 cases, no death occured.
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