Schmidt-Rhode P, Schulz K D, Sturm G, Prinz H
Department of Obstetrics and Gynecology, Philipps-University, Marburg, Lahn, FRG.
Int J Gynaecol Obstet. 1990 Jun;32(2):133-9. doi: 10.1016/0020-7292(90)90478-4.
The study reports the C-reactive protein (CRP) plasma concentrations in 115 women with a presumed diagnosis of acute adnexitis. In addition to CRP, blood sedimentation rate, white blood cell count and the body temperature were evaluated and compared with the clinical findings. Diagnosis was confirmed or excluded by laparoscopy (n = 69) or laparotomy (n = 9). Clinical examinations and conventional laboratory examinations were of limited value in the diagnosis of acute adnexitis. In contrast, CRP was a highly sensitive indicator of inflammatory pelvic disease. Furthermore, the CRP determination was superior in assessing the efficacy of an antibiotic treatment.
该研究报告了115名疑似急性附件炎女性的血浆C反应蛋白（CRP）浓度。除CRP外，还评估了血沉、白细胞计数和体温，并与临床检查结果进行了比较。通过腹腔镜检查（n = 69）或剖腹手术（n = 9）确诊或排除诊断。临床检查和传统实验室检查在急性附件炎的诊断中价值有限。相比之下，CRP是炎症性盆腔疾病的高度敏感指标。此外，CRP测定在评估抗生素治疗效果方面更具优势。
