Marks C, Tideman R L, Estcourt C S, Smart S, Page J, Wagner K, Mindel A
Academic Unit of Sexual Health Medicine, Sydney Hospital, Australia.
Int J STD AIDS. 2000 Aug;11(8):545-7. doi: 10.1258/0956462001916290.
The objective of the study was to determine the clinical manifestations and diagnostic criteria used to diagnose presumptive pelvic inflammatory disease (PID) at the Sydney Sexual Health Centre (SSHC). The study was a retrospective, case-note review of all women diagnosed with presumptive PID between April 1991 and December 1997. Seven hundred and thirteen women were included. The commonest recorded symptoms were vaginal discharge (68%), lower abdominal pain (65%) and dyspareunia (57%), while adnexal tenderness (83%), cervical motion tenderness (75%) and cervicitis (56%) were the most frequently recorded examination findings. Sixty-two per cent were prescribed doxycycline and metronidazole. The recording of signs and symptoms in women with presumptive PID was poor and only 22% met the current Centers for Disease Control (CDC) diagnostic criteria. It is likely that PID is over diagnosed in this group of women. This may lead to under diagnosis of other conditions causing pelvic pain and may be detrimental to reproductive health.
该研究的目的是确定悉尼性健康中心（SSHC）用于诊断疑似盆腔炎（PID）的临床表现和诊断标准。该研究是一项对1991年4月至1997年12月期间所有被诊断为疑似PID的女性进行的回顾性病例记录审查。共纳入713名女性。记录最常见的症状为阴道分泌物增多（68%）、下腹部疼痛（65%）和性交困难（57%），而附件压痛（83%）、宫颈举痛（75%）和宫颈炎（56%）是最常记录的检查结果。62%的患者被开了多西环素和甲硝唑。疑似PID女性的体征和症状记录不佳，只有22%符合当前疾病控制中心（CDC）的诊断标准。在这组女性中，PID很可能被过度诊断。这可能导致对其他引起盆腔疼痛的疾病诊断不足，并可能对生殖健康有害。
