Ectopic Pregnancy : A Clinical Evaluation of 435 Cases

This stdy is about cinical evalution and statistical analysis of 435 cases who were admitted and treated at department of obstetrics and gynecology, Ewha Womans University hospital from Jan. 1, 1971 to Dec. 31, 1979. The results were as follows; 1) The incidence of ectopic pregnancies was 1 in 38 deliveries. 2) The most frequent age group was in 25-34 years of age. The'youngest patient was 18 year old and the oldest patient was 49 year old. 3) igravida was 11.7%, ipara was 24.8% and 65.5% of total were experienced artificial abortion 4) The mean duration of infertility was 1 year 9 monthes and 3 cases were 9 years or more of inferility. 5) A history of previous laparotomy was 14.3%, repeat ectopic pregnancy was 7.8% and previous inflammatory disease was 8.7%. 6) Symptom was developed at 6.5 gestation week (mean). Symptoms were lower abdominal pain 94.7%, vaginal spotting in 84.7% , and shock state in 23.5% On pelvic examination, abdominal tenderness in 60.1, abdominal distension in 26.0%, and palpable adnexal mass in 39.2%. 7) Gravindex test was pregnant in 56% and culdocentesis was positive in 95.3% 8) Implantation site were tubal pregnancy in 91.7%, ovarian pregnancy 0.7%, cervical pregnancy 2.5% and cornual pregnancy 4.8%. 9) 69.5% of the cases were treated with salpingectomy and salpingoophorectomy was performed in 11%. 10) Of 435 cases, 1 death occurred who was dead at arrival.