This stdy is about a clinical evaluation and statistical analysis of 435 cases who were
admitted and treated at department of obstetrics and gynecology, Ewha Womans l
University hospital from Jan. 1, 1971 to Dec. 31, 1979. 1 The results were as follows;
1) The. incidence of ectopic pregnancies was 1 in 38 deliveries.
2) The most frequent age group was in 25-34 years of age. The youngest patient was 18 year old and the oldest patient was 49 year old.,
3) Nulligravida was 11.7%, nullipara was 24.8% and 65.5% of total were experienced artificial abortion.
4) The mean duration of infertility was 1 year 9 monthes and 3 cases were 9 years or more of inferility.
5) A history of previous laparotomy was 14.3%, repeat ectopic pregnancy was 7.8% and previous inflammatory disease was 8.7%.
6) Symptom was developed at 6.5 gestation week (mean). Symptoms were lower abdominal pain in 94.7%, vaginal spotting in 84.7%, and shock state in 23.5%. On pelvic examination, abdominal tenderness in 60. 1, abdominal distension in 26.0%, and palpable adnexal mass´ in 39.2%.
7) Gravindex test was pregnant in 56% and culdocentesis was positive in 95.3%
8) Implantation site were tubal pregnancy in 91.7%, ovarian pregnancy 0.7%, cervical pregnancy 2.5% and `cornual pregnancy 4.80.
9) 69.5% of the cases were treated with salpingectomy and salpingoophorectomy was performed in 11%.
10) Of 435 cases, 1 death occurred who was dead at arrival.
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