绝经后女性的盆腔炎性疾病
Pelvic inflammatory disease in the postmenopausal woman.
作者信息
Jackson S L, Soper D E
机构信息
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston 29425, USA.
出版信息
Infect Dis Obstet Gynecol. 1999;7(5):248-52. doi: 10.1002/(SICI)1098-0997(1999)7:5<248::AID-IDOG8>3.0.CO;2-V.
Abstract
OBJECTIVE
Review available literature on pelvic inflammatory disease in postmenopausal women.
DESIGN
MEDLINE literature review from 1966 to 1999.
RESULTS
Pelvic inflammatory disease is uncommon in postmenopausal women. It is polymicrobial, often is concurrent with tuboovarian abscess formation, and is often associated with other diagnoses.
CONCLUSION
Postmenopausal women with pelvic inflammatory disease are best treated with inpatient parenteral antimicrobials and appropriate imaging studies. Failure to respond to antibiotics should yield a low threshold for surgery, and consideration of alternative diagnoses should be entertained.
摘要
目的
回顾绝经后女性盆腔炎的现有文献。
设计
对1966年至1999年的MEDLINE文献进行综述。
结果
盆腔炎在绝经后女性中并不常见。它是多微生物感染，常并发输卵管卵巢脓肿形成，且常与其他诊断相关。
结论
绝经后盆腔炎女性最好采用住院胃肠外抗菌药物治疗及适当的影像学检查。对抗生素无反应时应降低手术阈值，并考虑其他诊断。
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