1986년 1월부터 1987년 12월까지 만 2년간 일신기독병원에 자궁외임신으로 입원한 환자 190례를 임상적으로 조사 관찰하여 다음과 같은 결과를 얻었다. 1. 자궁외임신의 분만수에 대한 빈도는 1:60 이었다. 2. 호발연령은 25~34세가 전체의 63.7%를 차지하였다. 3. 분만횟수는 미산부가 35.8%로 가장 많았고 12.1%가 초임부였다. 4. 기왕력은 74.7%가 적어도 1번이상의 유산의 경험이 있었고, 인공유산 60.5%, 골반염 12.6%, 복강경 불임술 11.6%, 불임증이 11.6%였다. 5. 임상증상은 73.2%가 최종월경일부터 4~8주에 나타났고 주요증상은 하복부동통이 90%, 성 기출혈이 84.7%였다. 6. 요임신반응은 검사자 133명중 63.9%가 양성이었고 혈청 β-HCG는 검사자 32명중 4000mIU/ml를 초과한 경우가 단지 1례였다. 7. 초음파상 자궁부속기 종괴는 78.1%에서 발견되었다. 8. 착상부위는 난관이 93.7%로 가장 많았고 난소, 자궁경부가 각각 1.6%, 복강내임신이 1.0% 였다. 9. 치료는 난관절제술이 80.6%, 난소난관절제술 8.4%, 자궁각 절제술이 5.3%였다.

A survey was done of 190 patients with ectopic pregnancy admitted to Il Sin christian hospital between Jan. 1986 and Dec. 1987, particularly in order to assess the possible predisposing factors and the reliability of various diagnostic methods. The main results were as follows. 1. The incidence was 1:60 deliveries. 2. The greatest proportion, 63.7%, were between the ages of 25~34 but compared to the age distribution of women delivered at the hospital during the same period, there was a much greater proportion of women aged over 35, 20% compared to 1.6%. 3. 12.1% were primigravida but 35.8% were nullipara. 4. In the past history, of possible predisposing factors, 74.7% had at least one abortion, 60.5% induced abortion, 12.6% PID, 11.6% previous sterilization and 11.6% had history of infertility. 5. The interval between LMP and onset of symptoms was 4~8 wks in 73.1%, the main clinical symptoms being lower abdominal pain in 90% and vaginal spotting in 84.7%. 6. Of 133 patients tested urine HCG test was positive in 63.9% and only in one of 32 cases did the serum β-HCG exceed 4000miu/ml. 7. Adnexal mass was diagnosed by ultrasound in 78.1%. 8. The site of ectopic implantation was fallopian tube in 93.7%, ovary 1.6%, cervix 1.6% and abdominal cavity 1.0%. 9. Of total cases 80.6% were treated by salpingectomy, 8.4% by salpingo-oophorectomy, and 5.3% by cornual resection.