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김병언(BE Kim),김영식(YS Kim),김두표(DP Kim),임경주(KJ Lim),황의하(IH Hwang) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.5
The clinical evaluation and statistical analysis on 181 cases of ectopic pregnancy treated at Dept. of Obstetrics and Gynecology, Inchun Christian Hospital, from Dec. 1979 to Dec. 1982 is report as well as brief of literatures. The following feature were the result of the study: 1. The incidence of ectopic pregnancy was 1:17 deliveries. 2. Ectopic gestation was found to occur most frequently in the age group, ranging from 25 to 39 years(78%). 3. Nulligravida was 3.3%, nullipara 25.4%, the cases who have experienced artificial abortion over one time was 76.3%. 4. A history of previous laparotomy was 19.3%, among them, repeat ectopic pregnancy was 8.3% pelvic inflammatory disease was noted in 27.1% and laparoscopic tubal ligation was detected in 14.4% IUD in 6.9%. 5. Symptoms were lower abdominal pain in 82.9%, vaginal spotting in 56.4%, shock state in 32.1%. 6. Culdocentesis was positive in 94.7%, and gravindex test was positive in 47%. 7. Ectopic gestation was implanted on tube in 89.5% (Interstitial; 3.9%, ampullar portion; 71.6%, fimbrial portion; 6.0%), on ovary in 5.5%, on uterine cornus in 4.9%, and on cervix in 1.1%. 8. Tubal pregnancies were terminated by rupture in 67%, by abortion in 33.1%, and intact type was 1%. 9. 60.2% of total cases was treated by salpingectomy, 28.7% by salpingooophorectomy and 8.3% by hysterectomy. 10. Of 181 total cases, no death occurred.