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최대경,황익하,전선희,김두표,김병수,이남섭,이정래,박덕련,송희진 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.11
1991년 1월1일부터 1994년 12월31일까지 4년간 인천 기독병원 산부인과에 자궁외임신으로 진단되어 입원 치료한 환자 120예를 대상으로 임상적 고찰을 하였던 바 다음과 같은 결과를 얻었다. 1. 총분만건 수에 대한 자궁외임신의 빈도는 1:46.1이었다. 2. 빈반연령은 25-29세의 연령군이었다. 3. 초산부는 35.0% 미산부는 32.5%였으며 대상의 73.3%가 인공유산 경험이 있었다. 4. 과거력상 가능한 유발유인을 보면 1회이상이상의 인공유산 경험이 있은 경우가 73.3%, LTS수술 13.3%, 골반염증성 질환이 9.7%의 비율로 나타났다. 5. 마지막 생리 제1일부터 증상이 나타나기까지의 기간을 보면 6-8주가 42.5%로 가장 많았다. 6. 증상에 따른 분석을 보면 하복부 동통이 93.3%에 나타났으며 질출혈이 85.8%환자에서 나타났다. 7. U-HCG test상 92.3%의양성율을 보였다. 8. 착상부위는 난관부가 96.7% 자궁각 부위에 2.5% 난소부위가 1.7%를 차지하였다. 9. 치료의 51.7%는 환측 난소 난관절제술이 차지하였으며 환측 난관절제술을 31.2%의 환자에서 시행하였다. 10. 120례 중 사망한 례는 없었다. This study was done for a clinical evaluation and statistical analysis of 120 cases who were admitted and treated at Department of Obstetrics and Gynecology, Inchon Christian hospital from January 1, 1991 to December.31 1994. The main results were as follows ; 1. The incidence of ectopic pregnancy was 1 to 46.1 deliveries. 2. The most frequent age group was in 25-29 years of ages 3. Primigravida was 11.7%, nullipara was 32.5% and 73.3% of cases have been experienced artificial abortion. 4. In the past history of possible predisposing factors, 73.3% had artificial abortions 13.3% had laparascopic tubal sterilization PID was in 9.7%. 5. THe most frequent interval between LMP and the onset of symptoms was 6-8 wks in 42.5% 6. On symptomatological analysis, low abdominal pain was encountered in 93.3%, vaginal spotting and bleeding in 85.83%. 7. Of 120 patients tested urine HCG test positive result was in 92.3%. 8. Implantated site were tubal pregnancy in 96.7% cornual pregnancy in 2.5% ovarian pregnancy in 1.7%. 9. Unilateral salpingoophorectomy was applied in 51.7% of cases for treatment and unilateral salpingectomy was in 31.2%. 10 There was no fatal case in 120 ectopic pregnancy.
황익하,전선희,김두표,임전주,김병수,이정래,박덕련,송희진 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.10
Abdominal pregnancy is extremely rare, which is one of the most dangerous conditions, obstetrically. Abdominal pregnancies are classified as either primary or secondary. Primary abdominal pregnancy is much less common. The diagnosis is very difficult. Frequently the diagnosis is made during pregnancy. We experienced a case of abdominal pregnancy in first trimester and reported it with brief review of a literature.