| A clinical review on ectopic pregnancy. |
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Hee Sang Rheem, Seung Jae Ahn, Hong Ju Chung, Eun Jun Cho, Jong Hoon Chung, Mi Kyung Oh |
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| 자궁외 임신의 임상적 고찰 |
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임희상, 안승재, 정홍주, 조은준, 정종훈 |
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부천대성병원 가정의학과 연세대학교 가정의학과 교실 |
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| Abstract |
A clinicostatistical survey and analyzing general characteristics were made on a series of 75 ectopic pregnancies operated and confirmed with histopathological study at the department of obstetrics and gynecology at a general hospital near Seoul in Korea during the period from March 1984 to the end of February 1990.
The results obtained were as follows.
1. The ratio of ectopic pregnancy to normal delivery during the same period at the above hospital was 1 in 40.4 deliveries(2.5%).
2. The most prevalent age group was 25-29 years of age, 27 cases (36.0%).
3. Nulligravida was 16.0%(12 cases), nullipara was 41.3%(31 cases) and women who have experienced artificial abortion were 78.7%(59 cases)
4. A history of artificial abortion was in 59 cases(78.7%) laparascopic tubal ligation in 16 cases(21.3%), PID in 9 cases(12.0%), appendectomy in 9 cases(12.0%) and repeat ectopic pregrancy in 3 cases(4.05), respectively.
5. Symptoms were lower abdominal pain 69 cases(92.0%), amenorrhea in 52 cases(69.4%) and vaginal spotting in 51 cases(68.0%).
6. For the most the interval between LMP and onset of symptom was 4-8 weeks, 46 cases(61.3%).
7. 44 cases(58.7%) of all cases admitted within 1 week after symptom appearing, 69 cases(92.0%) admitted within 2 weeks. (92.0%) admitted within 2 weeks.
8. On physical examination, abdominal tenderness was noted in 56 cases(74.7%), pain on the motion of cervix in 49 cases(65.3%), abdominal rebound tenderness in 39 cases (52%) and paleness in 22 cases(29.3%).
9. On hematological finding, WBC was between 5,000 and 10,000/mm³ in 27 cases(36%) and over 15,000/mm³ in 21 cases(28%). Hemoglobin was below 11gm% in 37 cases(50.6%). Hematocrit was 26-39% in 65 cases(86.7%).
10. The pregnancy test was positive in 69.1%(47 cases/68 cases) and the culdocentesis was positive in 93.1%(54/58 cases). The sonogram was not helpful.
11. Implantation site was on tube in 73 cases(97.3%)(Ampullary 66 cases 88.0%).
12. Surgical procedure performed in 49 cases(61.1%) was ipsilateral salpingectomy alone. Salpingectomy and opposite tubal ligation was performed in 10cases(13.3%).
13. The mean transfusion volume was 2.4 pints. The amount of transfusion with largest number was 24 cases(32.0%)[2 pints-17 cases(22.7%)].
14. Of 75 total cases, there was no death. |
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