盆腔炎与非自愿性不孕：前瞻性初步观察
Pelvic inflammatory disease and involuntary infertility: prospective pilot observations.
作者信息
Soper D, Ness R B
机构信息
Department of Obstetrics and Gynecology Medical College of Virginia P.O. Box 980034 Richmond, VA 23298-0034, USA.
出版信息
Infect Dis Obstet Gynecol. 1995;3(4):145-8. doi: 10.1155/S1064744995000494.
OBJECTIVE
We prospectively evaluated the rate of adverse reproductive outcomes following pelvic inflammatory disease (PID) in a small cohort of American women.
METHODS
We enrolled 28 patients having either salpingitis confirmed by laparoscopy or endometritis confirmed by endometrial biopsy. The follow-up was maintained by clinic visits and telephone contact.
RESULTS
A median of 15.4 months of follow-up was accomplished for 82.1% of these women. Fifty-two percent (13/25) had unprotected sexual activity without conception for at least 6 months. Fully 55.6% (10/18) of the cohort were involuntarily infertile after at least 1 year of follow-up.
CONCLUSION
In the first prospective cohort study of the reproductive outcomes of American women having had PID, high rates of infertility at 1 year of follow-up were experienced by these women.
目的
我们前瞻性地评估了一小群美国女性盆腔炎（PID）后不良生殖结局的发生率。
方法
我们纳入了28例经腹腔镜检查确诊为输卵管炎或经子宫内膜活检确诊为子宫内膜炎的患者。通过门诊就诊和电话联系进行随访。
结果
这些女性中有82.1%完成了中位随访时间为15.4个月的随访。52%（13/25）的女性有未采取保护措施的性行为且至少6个月未受孕。在至少1年的随访后，该队列中足足55.6%（10/18）的女性存在非自愿性不孕。
结论
在第一项关于患PID的美国女性生殖结局的前瞻性队列研究中，这些女性在随访1年时不孕率较高。
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