A Clinical study of Ectopic Pregnancy

Lee, K R; Lee, J S; Kim, M J; Kim, J H; Lee, M S; Song, I C

Abstract

OBJECTIVES
This retrospective study was undertaken to evaluate for the clinical characterristics and to gain greater insight into the diagnosis and management of ectopic pregnancy. Material and METHODS: This study was done 112 women with ectopic pregnancy who were admitted, operated, and confirmed by histopathological at the Department of Obstetrics and Gynecology, Pusan medical center from Jan. 1, 1995 to Dec. 31, 1999.
RESULTS
1. The incidence of ectopic pregnancy was 2.9% (1 in 34.1pregnancy). 2. Age distribution of cases was showed the highest frequency between 25-29 years group. 3. According to past history of illness artificial abortion was 66%, laparoscopic tubal ligation was 14.3%, PID was 13.4%, previous c/s was 13.4%, appendectomy was 13.4%, previous ectopic pregnancy was 9.8%, pelvic Tuberculosis was 2.7%, tuboplasty was 2.7%, and IUD was 2.7%. 4. As to chief complaints of cases on admission, lower abdominal pain was 90.2%, vaginal spotting or bleeding was 45.5%. 5. Positive finding of culdocentesis was 80.3%, and that of urine hCG was 93.4%. 6. According ultrasonographic finding, adnexal mass was visible 50.7% among 73 cases. 7. On pelvic examination, pelvic tenderness was 90.2%, cervical motion tenderness was 77.2% among 92 cases. 8. Ectopic pregnancy was implanted on the fallopian tube 97.3%, cervix 1.8%, and ovary was 0.9% retrospectively. 9. Of total 112 cases, ipsilateral salpingectomy was 75.9%, ipsilateral salpingooophrectomy was 10.7%, total abdominal hysterectomy was 0.9%.
CONCLUSIONS
Ectopic pregnancy is one of the leading causes of maternal mortality in the early pregnancy, subsequently may lead to infertility in reproductive age women. In order to minimize such problems, clinicians are particularly familiar with early diagnosis and appropriate diagnotic procedures on ectopic pregnancy.