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子宮外姙娠의 統計的觀察

Statistical Study of Ectopic Pregnancy

대한산부인과학회지 1961년 4권 3호 p.83 ~ 87
박문선 (  ) - 서울대학교 의과대학 산부인과학교실

Abstract


Clinical and statistical analysis on 124 patients treated for ectopic pregnancy at the Dept ) of Dbst. Gynec. College of Medicine, Seoul National University and, the Dept. of Obst. Gynec. Med cal center between Jan. 1959 and J%. 1961 are presented.
Results
1) This series comprised 121 tubal, (97.5 percent). 2 ovarian, (1.6 per gent) and 1 abdominal pregnancy (0.8 percent). A recurrence, rate, of, 6.5 per cent was noted.
2) The average age´ of all patients was 31.2 years and 65.8 per cent of 120 patients were 26 of35 years of age.
3) 15.4 per cent of 117 patients were nulligravid with the average length of sterility of 4 years and 9 months, and 84.6 per cent were multiparas with the average length of sterility of 3 years and 2 months.
In 63 per cent of patients, the length of sterility was under S yews, and the average length f sterility of the entire series was 3 years and 5 months. (the shortest, 45 days; the longest, 21year).
A history of artificial abortion of the last pregnancy: was obtained in 12.9 per cent of patient normal delivery in 51.7 per -cent.
4) A history, of the previous artificial abortion was noted in. 25 cases ´17 cases .had d had previous abdominal surgery (8 cases, ectopic; 7 cases, appendectomy), 10 cases tuberculous diseases.
5) Lower abdominal pain was present in 98,3 per cent of the cases; vaginal bleeding 89.2 per cent. Ab bdominal pain combined vaginal bleeding in 87.5 per cent of the cases and in 45.8 per cent of cases, the onset of above symptoms was noted in 31 to 50 .days after the date of the last normal menstrual period. Vaginal bleeding preceded the pain in 50.5 per cent of all patients.
6) Amenorrhea was present-in 87.5 per cent of the cases, and the average length of amenorrha , was 55.8 days.
7), In 65.5 per-,cent of patients, an adnexal mass was palpated on pelvic examination. Lower abdominal tendeinees was present in 86.5 per cent of cases.
8) The accuracy of culdocentesis was obtained from 93.7 per cent of patients Performed.
9) The affected side of tubal pregnancy was as frequent on the right as on the left. In the operative findings, tubal rupture was noted in 61.5 per cent; tubal abortion. 38.5 per cent.
10) 41 patients were treated by salpingo-oophorectomy: 77 patients, by salpingectotmy.
11) Of 124 patients, one death occurred, a mortality rate of 0.8 per cent. Other patients were completely recovered.

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