Chappell Catherine A, Wiesenfeld Harold C
Magee-Womens Hospital of UPMC, University of Pittsburgh, Pittsburgh, PA, USA.
Clin Obstet Gynecol. 2012 Dec;55(4):893-903. doi: 10.1097/GRF.0b013e3182714681.
Severe pelvic inflammatory disease and tuboovarian abscesses (TOAs) are common pelvic infections requiring inpatient admission. There are few large randomized trials guiding appropriate clinical management of TOA, including antibiotic selection and timing of surgical management and drainage. The pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and TOA are summarized and reviewed from the most current literature.
严重盆腔炎和输卵管卵巢脓肿(TOA)是常见的盆腔感染,需要住院治疗。目前几乎没有大型随机试验来指导TOA的适当临床管理,包括抗生素选择、手术管理和引流时机。本文从最新文献中总结并综述了严重盆腔炎和TOA的发病机制、诊断及管理。