Molander P, Cacciatore B, Sjöberg J, Paavonen J
Department of Obstetrics and Gynecology, University of Helsinki, 00290 Helsinki, Finland.
J Am Assoc Gynecol Laparosc. 2000 Feb;7(1):107-10. doi: 10.1016/s1074-3804(00)80018-3.
To evaluate the efficacy of acute-phase operative laparoscopy in women with suspected pelvic inflammatory disease (PID).
Open series (Canadian Task Force classification II-3).
University hospital.
Thirty-three patients with clinically suspected PID.
Acute-phase operative laparoscopy.
Laparoscopy confirmed the diagnosis of PID in 20 (61%) patients; 11 (33%) women had other disease and 2 (6%) had no evidence of disease. Laparoscopic procedures in women with PID were pelvic irrigation (all patients), lysis of adhesions (most cases), drainage and irrigation of unilateral or bilateral pyosalpinx (7), drainage and irrigation of tubo-ovarian abscess (3), and extirpation of disease (2). Laparoscopic intervention was also performed in 11 (85%) of 13 women without PID. No major complications occurred.
Acute-phase operative laparoscopy provided a final diagnosis in all but three patients (91%).
评估急性期手术腹腔镜检查对疑似盆腔炎（PID）女性患者的疗效。
开放性系列研究（加拿大工作组分类II - 3）。
大学医院。
33例临床疑似PID患者。
急性期手术腹腔镜检查。
腹腔镜检查确诊20例（61%）患者患有PID；11例（33%）女性患有其他疾病，2例（6%）未发现疾病迹象。PID女性患者的腹腔镜手术包括盆腔冲洗（所有患者）、粘连松解（多数病例）、单侧或双侧输卵管积脓引流及冲洗（7例）、输卵管卵巢脓肿引流及冲洗（3例）和病灶切除（2例）。13例非PID女性患者中的11例（85%）也接受了腹腔镜干预。未发生重大并发症。
急性期手术腹腔镜检查除3例患者外，对所有患者（91%）均做出了最终诊断。
