The incidence of ectopic pregnancy has been increasing for many years. Ectopic pregnancy is still a leading cause of materal death despite improved diagnosis and therapy. There is still much to be learned about ectopic pregnancy, its etiology,
diagnosis
and management.
The study was undertaken on 512 patients with pathologically or laparoscopically proven diagnosis of ectopic pregnancies at the KyungHee Medical Center from Jan. 1, 1989 to Dec. 31, 1994.
@ES The results of the study were as follows;
@EN 1. The incidence of ectopic pregnancy was 1 in twenty deliveries(512/10,752).
2. The most frequent age group was in 25~34 years of ages.
3. The obstetrical histories were abortion in 77.2%, delivery in 64.1%, nulligravida in 35.9% and previous ectopic pregnancy in 7.6%.
4. A previous history of abdominal or pelvic surgery was in 17.2% and tubal sterilization was in 12.7%, pelvic inflammatory disease in 8.4%.
5. The most frequent interval between last menstrual period and the onset of symptoms was 6~8 weeks in 39.5%.
6. On symptomatological analysis, amenorrhea was encountered in 93.0%, lower abdominal pain in 81.2%, and vaginal spotting in 45.5%.
7. The diagnostic positive rate was 100% in β-hCG and laparoscopy, 88.2% in urine hCG test, 84.7% in culdocentesis, and 85.2% in ultrasonogram.
8. The histopathology of endometrium showed decidual reation(49.2%), secretory phase (27.9%), Arias-Stella reaction(14.7%) and proliferative phase(8.2%).
9. Ectopic gestation was implanted on the fallopian tube in 96.5%, on the ovary in 2.1% and on the cervix in 1.2%, and 1 case was intraabdominal pregnancy.
10. The operative precedures were salpingectomy in 69.1%, salpingo-oophorectomy in 11.7%, cornual resection in 5.1%.
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