Sellors J W
Can Fam Physician. 1989 Jun;35:1309-14.
Most women with symptomatic acute pelvic inflammatory disease (PID) are now managed outside of hospital by private practitioners. Clinical diagnosis of PID is often inaccurate, but can be improved by knowledge of risk factors, use of simple investigations, and referral for laparoscopy when the physician is unsure. Prompt treatment with a recommended regimen that includes at least two antibiotics, careful consideration of when to hospitalize or refer, and an awareness of the need for compliance and follow up are important attributes of good management. In contrast, asymptomatic PID, which is a common antecedent of tubal factor infertility and ectopic pregnancy, can be prevented only by screening for and appropriate treatment of sexually transmitted infections.
现在，大多数有症状的急性盆腔炎（PID）女性由私人执业医生在院外进行治疗。PID的临床诊断常常不准确，但通过了解危险因素、运用简单检查以及在医生不确定时转诊进行腹腔镜检查，诊断准确性可以得到提高。采用包含至少两种抗生素的推荐方案进行及时治疗、仔细考虑何时住院或转诊，以及意识到依从性和随访的必要性，都是良好治疗的重要特征。相比之下，无症状PID是输卵管因素不孕和异位妊娠的常见前驱情况，只有通过筛查和适当治疗性传播感染才能预防。
