子宮外 妊娠에 關한 臨床的 考察 = (A) Clinical Analysis of Ectopic Pregnancy

다국어 초록 (Multilingual Abstract)

This study was undertaken for the clinical evaluation and statistical analysis on the 250 patients with ectopic pregnancy who had been admitted and treated at the Mokpo St. Columban Hospital from Jan. 1. 1981 to Dec 31, 1987.
The results were obtained a s follows.
1. Hospital incidence of ectopic pregnancy was 1 in 77 deliveries (250/19222).
2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 30 to 34 years (29.6%).
3. Nullipara was 24.4% and woman who had experienced artificial abortion was 66%.
4. Mean hemoglobin level 9.9mg/dl
5. Initial systolic blood pressure rise above 100mmHg was in 80.4%. The mean value was 109.7mmHg.
6. The clinical manifestation were appeared in 64.8% from the last menstrual peiod to the next 5-8weeks.
7. Total amount of intraperitoneal hemorrhage was between 50~1000ml was in 22.4%, above the1.000ml was 66.4% and less the 500ml was 11.2%.
8. Ectopic pregnancy was implanted in fallopian tube 97.8%. ovary in 2.4% and abdomen in 0.4%. Among tubal pregnancies, ampullar portion was involved in 79.2% interstitial portion in 4%, isthmic portion in 10.8% and fimbrial portion in 3.8%.
9. The combined pelvic disorders found during operation were pelvic inflammatory disease in 24.5%, ovarian cyst in 11.6%, uterine myoma in 0.4% and the case applicated with IUD in 5.2%.
10. In past history, the laparascopic tubal ligation was in 15%, repeated ectopia was in 7.6%, appendectomy was in 1.5% and cesarean section was in 1.5%.
11. Culdocentesis was positive in 87.1%. negative in 12.9% and Gravindex test was positive in 65%.
12. 82% of total cases was treated by salpingectomy, 13.6% by salpingooo-phorectomy and 1.6% by hysterectomy.
13. Of 250 total cases, no death occured.

목차 (Table of Contents)

• 목차 = 1
• ABSTRACT = 4
• Ⅰ. 序論 = 6
• Ⅱ. 材料 및 方法 = 7
• Ⅲ. 調査成績 = 8
• 1. 頻度 = 8
• 2. 年齡分布 = 8
• 3. 分娩回數와 子宮外姙娠 = 9
• 4. 人工流産 回數別 分布 = 10
• 5. 初期 血色索 測定値 = 10
• 6. 初期 收縮期 血壓 = 10
• 7. 症狀 發顯 時期 = 12
• 8. 腹腔內 出血量 = 12
• 9. 發生部位 = 12
• 10. 臨床症狀 = 14
• 11. 臨床症候 = 14
• 12. 手術時 所見 = 15
• 13. 旣往力 = 15
• 14. Culdocentesis에 대한 成績 = 16
• 15. 妊娠反應檢査 陽性度 = 16
• 16. 手術方法 = 17
• 17. 豫後 = 17
• Ⅳ. 考察 = 18
• Ⅴ. 結論 = 25
• Reference = 26