[Some causes of ectopic pregnancy in the aspect of clinical and anatomo-pathological studies].
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Abstract
9.98% of all gynecological surgical interventions made at the Clinic in Zabrez from 1965 to 1971 were for ectopic pregnancy. 157 cases of ectopic pregnancy were chosen at random for clinical analysis. Microscopic examinations of the excised oviduct were made in order to establish the cause of tubular implantation. The cause was determined in 45.6% of all the cases. Causal factors were chronic salpingitis (33%), endometriosis (11.4%), and tuberculosis (1.2%). In the formation of acute salpingitis (54.4% of these cases) a major incidence of passed spontaneous and artificial abortion was revealed. It is felt that postoperative examination of material should cover not only the presence of the fetal ovum but also the microscopic appearance of the oviducts' walls. In this manner it is thought that the cause may become more evident, making prophylaxis of ectopic pregnancy more possible.
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