Hoof Kathrin
Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Kiel.
Ther Umsch. 2007 Jul;64(7):365-8. doi: 10.1024/0040-5930.64.7.365.
Pelvic inflammatory disease and upper genital tract infection describe inflammatory changes in the upper female genital tract of any combination: endometritis, salpingitis, tubo-ovarian abscess and peritonitis in the small pelvis. In most cases the infection is ascending, Chlamydia trachomatis and Neisseria gonorrhoeae are common with increasing incidence. The spectrum ranges from subclinical, asymptomatic infection to severe, life-threatening illness. Antibiotic treatment should be initiated promptly and must cover a broad spectrum of germs. Surgical treatment is necessary in cases of failure of antibiotic treatment and in cases with persisting symptoms after antibiotic treatment. Pelvic inflammatory diseases are one of the main causes of tubal sterility, ectopic pregnancies and chronic abdominal pain.
子宫内膜炎、输卵管炎、输卵管卵巢脓肿和盆腔腹膜炎。在大多数情况下，感染是上行性的，沙眼衣原体和淋病奈瑟菌很常见，且发病率不断上升。其范围从亚临床、无症状感染到严重的、危及生命的疾病。应立即开始抗生素治疗，且必须覆盖广泛的病菌。抗生素治疗失败以及抗生素治疗后仍有持续症状的病例需要进行手术治疗。盆腔炎是输卵管性不孕、异位妊娠和慢性腹痛的主要原因之一。
