MSMR. 2012 Jul;19(7):11-3.
Pelvic inflammatory disease (PID) refers to a group of inflammatory disorders of the female upper genital tract caused by the spread from the lower genital tract of Chlamydia trachomatis and other organisms. PID can cause chronic pelvic pain, fallopian tube damage, infertility and ectopic pregnancy. Between January 2002 and December 2011, 16,817 female service members met the surveillance case definition for acute PID. Incidence rates were stable at approximately 8 per 1,000 person-years overall and 11 per 1,000 person-years among known high-risk sub-populations (i.e., women 17-24 years old, in the Army, and of black, non-Hispanic race/ethnicity). Twenty-six women were diagnosed with PID within 10 days after medical evacuation from Iraq/Afghanistan. The proportion of servicewomen diagnosed with infertility subsequent to an incident diagnosis of acute PID increased during the period. Rates of PID are higher in the Army than the other Services. This may reflect differences in Service policies for chlamydia screening of new accessions.
盆腔炎(PID)是指由沙眼衣原体和其他病原体从下生殖道蔓延至女性上生殖道而引起的一组炎症性疾病。盆腔炎可导致慢性盆腔疼痛、输卵管损伤、不孕和异位妊娠。在2002年1月至2011年12月期间,16817名女性军人符合急性盆腔炎的监测病例定义。总体发病率稳定在每1000人年约8例,在已知的高危亚人群(即17 - 24岁、陆军、黑人、非西班牙裔种族/族裔的女性)中为每1000人年11例。26名女性在从伊拉克/阿富汗医疗后送10天内被诊断为盆腔炎。在此期间,急性盆腔炎确诊后被诊断为不孕的女兵比例有所增加。陆军中盆腔炎的发病率高于其他军种。这可能反映了各军种在新兵衣原体筛查政策上的差异。