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김선원(SO Gim) 대한산부인과학회 1965 Obstetrics & Gynecology Science Vol.8 No.12
From January 1962 to September 1965, two hundred and seventy three cases of ectopic pregnancies were treated at the Dept. of Obst. & Gynec. Seoul National University Hospital. 1) This series comprised of 250 tubal(99.6%), and one ovarian(0.4%) pregnancies. 2) During this same period, 3042 babies were delivered, giving a ratio of 1 to 11.14 live births(8.9%). 3) The occurrence was high in August(15.14%), low in October(1.95%), and the rate of summer season doubled that of autumn season. 4) The mean age was 31.75 years, and 63.50% of total were between 25 and 35 years of age. 5) Nulligravida was 14.74%, nullipara 34.26%, preimipara 14.3%, and mutipara 47.4% of total. 6) The last pregnancy ended in normal delivery in 47.41%, artificial abortion in 38.25% of total. 7) The duration of infertile period was 5 years and 5 months in nulligravida, 4 years and 5 months in nullipara, & 4 years and 11 months in primigravida, giving a mean duration of 4 years and one month; and 52.59% of total was within 3 years, and 9.96% over 10 years. 8) A history of previous abortion was noted in 50.2% of total including 76.19% of artificial abortion. Among them, 21.83% ended in ectopic pregnancies. 12.9% of total cases had previous abdominal surgery(53.85% for eccyesis, 33.33% for appendicitis). Tuberculosis was noted in 10.76%, and venereal diseases were detected in 9.96% of total cases. 9) Lower abdominal pain was found in 99.20%, abnormal uterine bleeding in 83.27%, nausea and vomiting in 33.47%, shock in 31.47%, bowel and urinary symptoms as tenesmus or rectal pain in 25.10%, subjective symptoms of pregnancy in 7.98%, and shoulder pain in 1.59% of total cases. 10) Adnexal mass, usually tender, was palpated in 76.89%, and lowerabdominal tenderness was noted in 75.70%; 59.36% of total cases complained of pain on motion of cervix, and 32.20% of total cases had a tender or bulged posterior fornix of cervix. Mass in the Cul-de-Sac was palpated in 6.7% of total cases. 11) Lower abdominal pain and abnormal uterine bleeding were present in 91.25% of total cases, and bleeding preceeded pain in 45% of the total, the reverse being 33.82%. The mean duration of the above symptoms from the begining of l.m.p. was 35.4 dsys, 33.82 days, and 40.69 days respectively. As a whole the duration was between 31-50 days in 46.62% of total. In the cases of rupture pain usually preceeded(41.18%), and aborted cases, bleeding preceeded(36.52%). 12) The initial diagnosis was correct in 89.4% of the total cases. Diagnosis was wrong in 4.56% of total preoperatively, and 5.62% of the total after operation. 13) Culdocentesis was accurate in 98.6% of the total trial. 14) 51.05% of the total gestations occured on the right side of the tube. The fimbrial portion was involved in 9.16%, ampullary portion in 72.11%, and the isthmic portion was involved in 14.7%, of the total gestations. The interstitial pregnancy was 3.60% of the total. Tubal Abortion was present in 45.92% of the total gestations, and rupture was noted in 54.18%. 15) Adnectomy was performed in 32.67%, conservative plastic operations in 7.17% of the total cases. 60.20% of the cases were treated with salpingectomy only. 16) Of 273 total cases, no death occurred.
김선원(Sunwon Kim),박차식(Chasik Park),박용재(Yongjae Park) 한국자동차공학회 2001 한국자동차공학회 춘 추계 학술대회 논문집 Vol.2001 No.11_1
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