The incidence of ectopic pregnancy is apparently increasing in recent years. This study was undertaken for the clinical evaluation & statistical analysis on the 215 patients with ectopic ´pregnancy who were operated & confirmed by histopathological study at the Dept. of Obstetrics & Gynecology, Wonkwang University from Jan.1, 1986 to Dec. 31, 1990.
The results obtained were as follows.
1. The incidence of ectopic pregnancy was 1 in 25 deliveries (215/5375).
2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 26 to 30 years (40.5%).
3. Most frequent number of delivery & pregnancy was one times (30.7%) & two times (22.3%) respectively.
4. Most frequent number of artificial abortion was one times (32.4%,) & nulligravida was 93%.
5. In the past history. 63.3% of the patients had previous artificial abortion, 17.7% had laparoscopic tubal sterilization & 6.6% had previous ectopic pregnancy.
6. The duration from LMP to onset of symptoms was 6?9 weeks (74.0% ) most frequently.
7. According to symptomatolggical analysis, lower abdominal pain (94.4%), vaginal bleeding or spotting (55.3%), amenorrhea (86.1%) were the most common presenting signs & symptoms.
8. Urine hCG test was positive in 72.1% & culdocentesis was positive in 92.0%.
9. Ectopic pregnancy was implanted on the fallopian tube in 94.9 %.
10. The amount of intraabdominal hemorrhage was below 5000 in 40.9%, 500.1,000 m2 in 24.2% & over 2,000 m2 in 7.9%.
11. Most commonly used surgical procedure was unilateral salpingectomy (50.7%).
12. There was no maternal death.
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