This study is a clinical evaluation and statistical analysis on the 116 cases of ectopic pregnancies who were admitted and treated at Department of Obstetrics and Gynecology, Presbyterian Medical Center from January 1, 1991 to December 31, 1995.
@ES The results obtained were as follows;
@EN 1. The medical center incidence of ectopic pregnancy was 1 in 168 deliveries.
2. The most frequent age group was in 25~29 years group.
3. Nullipara was 34 cases(29.3%) and the number of cases had 1, 2 deliveries were 34 cases (29.3%), 39 CASES(33.6%).
4. The most frequent interval between last menstrual period and the onset of symptoms was 6~8 weeks in 52 cases(44.8%).
5. In the past history, 86 cases (74.1%) had previous artificial abortion, 18 cases(15.5%) had laparoscopic tubal sterilization, 14 cases(12%) had previous ectopic pregnancy, 8 cases (6.9%) had previous cesarean section.
6. On the symptomatological studies, lower abdominal pain was noted in 103 cases (88.7%), vaginal bleeding (spotting) in 67 cases(57.8%), amenorrhea in 62 cases(53.4%).
7. Urine hCG test was positive in 113 cases (97.4%) and culdocentesis was positive, 61 cases (71%), and diagnostic laparoscopy was positive in 23 cases (85.2%).
On the sonograghic findings, adnexal mass and cul-de-sac fluid finding was positive in 39 cases(44.3%).
8. Ectopic pregnancy was implanted on fallopian tube in 107 cases (92.2%), and 5 cases (4.3%) on ovary, 1 case(0.9%) on cervix. In tubal pregnancy, the most implantation site was ampullar portion 76 case(65.5%). Ruptured tubal pregnancy was 79
cases(68.1%).
9. The most common range of serum β-HCG level was 1,000 mIU~5,000 mIU in 35 cases(41.1%).
10. Intraperitoneal blood loss below 500 ml in amount was 53 cases(45.8%), 1,000~2,000 ml in 20 cases917.3%), respectively.
11. The serum β-HCG level was below 1,000 mIU/ml in 28 cases(33%).
The serum β-HCG levels relate poorly with the size of a ectopic pregnancy.
12. Most commonly used operative procedure was ipsilateral salpingectomy in 55 cases(47.5%), ipsilateral salpingo-oophorectomy in 8 cases(6.9%) and also, laparoscopic salpingectomy was done in 11 cases(9.5%).
13. In the 116 study cases, there was no fatal case.
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