Rousseau S, Morisset M E, Knoefel F, Gattereau D, Morisset R
Fertility Clinic, Hospital Hôtel-Dieu de Montréal, Quebec, Canada.
Eur J Obstet Gynecol Reprod Biol. 1991 Jun 5;40(1):49-55. doi: 10.1016/0028-2243(91)90044-l.
54 patients presented by history, physical examination and laboratory tests with suspected pelvic inflammatory disease (PID). The use of laparoscopy as a diagnostic tool proved in 13 cases (24%) that the presumptive diagnosis was incorrect. Bacteriological studies revealed chlamydial infection in 21 of 41 cases, in 6 cases only at laparoscopy in the pelvic cavity, gonococcal in 9 of 41 cases; mycoplasmas were identified in 15 cases, being the only pathogen in 7. In 9 cases, no recognized pathogens were isolated. Polymicrobism was frequent. Follow-up studies identified 5 cases of treatment failure; 2 of Gonococcus and 3 of Chlamydia, and detected 3 cases of Chlamydia which had not been identified initially. We discuss the use of laparoscopy in the diagnosis and for follow-up and treatment of PIDs.
54例患者经病史、体格检查及实验室检查后怀疑患有盆腔炎（PID）。通过腹腔镜作为诊断工具发现，13例（24%）患者的初步诊断有误。细菌学研究显示，41例中有21例存在衣原体感染，其中6例仅在腹腔镜检查盆腔时发现，41例中有9例存在淋球菌感染；15例检出支原体，其中7例支原体为唯一病原体。9例未分离出公认的病原体。多种微生物感染很常见。随访研究发现5例治疗失败；2例为淋球菌感染，3例为衣原体感染，并检测到3例最初未发现的衣原体感染。我们讨论了腹腔镜在PID诊断、随访及治疗中的应用。
