ETIOLOGY AND OUTCOME OF ACUTE PELVIC INFLAMMATORY DISEASE
ETIOLOGY AND OUTCOME OF ACUTE PELVIC INFLAMMATORY DISEASE
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DOI：
10.1093/infdis/158.3.510
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发表时间：
1988-09-01
影响因子：
6.4
通讯作者：
RAYNER, E
中科院分区：
文献类型：
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作者：
BRUNHAM, RC;BINNS, B;RAYNER, E
我们研究了71例经腹腔镜和综合微生物学诊断为急性盆腔炎（PID）的妇女，以确定输卵管感染后生育预后不良的主要病因决定因素。50名妇女被发现患有急性PID。在这50名妇女中，23名寻求怀孕，随后进行了评估，以确定生育结果。13例非淋球菌感染的妇女中有7例有良好的预后，而10例淋球菌感染的妇女中无一有不良预后（P = 0.007）。两组不良生殖结果的原因被发现。在7名不孕妇女中，4名最初有输卵管脓肿，3名有沙眼衣原体感染的证据。本研究直接记录了输卵管脓肿妇女的不良生育预后，并表明衣原体感染的培养和/或血清学证据的妇女也有不良的生育预后。
We studied 71 women with the clinical diagnosis of acute pelvic inflammatory disease (PID) by laparoscopy and comprehensive microbiology in order to define the major etiologic determinants of poor fertility prognosis after tubal infection. Fifty women were found to have acute PID. Of the 50 women, 23 were pregnancy seeking and had a subsequent evaluation to determine fertility outcome. Seven of 13 women with non-gonococcal infection had an advese reporductive outcome, compared with none of 10 women with gonococcal infection (P = 0.007). Two groups of causes for adverse reproductive outcome were found. Of the seven infertile women, four had initial tubal abscess, and three had evidence of Chlamydia trachomatis infection. This study directly documents the poor fertility prognosis for women with tubal abscess and suggest that women with culture and/or serological evidence of chlamydial infection also have a poor fertility prognosis.