Buchan H, Vessey M
University Department of Community Medicine and General Practice, Radcliffe Infirmary, Oxford.
Br J Obstet Gynaecol. 1989 Oct;96(10):1219-23. doi: 10.1111/j.1471-0528.1989.tb03200.x.
Hospital Inpatient Enquiry data were analysed to determine trends in hospital discharges for pelvic inflammatory disease in England from 1975 to 1985. Cases where the disease was thought to be related to another condition, e.g. appendicitis, were excluded from the analysis. Discharge rates for both acute and chronic disease increased over the review period and there was a 28% increase in the discharge rate for total disease. Women in their 20s were most likely to be involved and this group showed the greatest increase in the discharge rate, both for acute and chronic disease. In the 20-24-year age group the rate of discharge for acute disease rose by 50%, from 125.6/100,000 in 1975 to 189.0/100,000 in 1985. Patients with a diagnosis of chronic pelvic inflammatory disease tended to be older than those with acute disease. Women who were divorced were more at risk of both acute and chronic forms of the disease than single or married women. Increase in the use of surgery to confirm the diagnosis occurred only for those with chronic disease. About a quarter of patients with acute disease had the diagnosis confirmed surgically, and this proportion did not change in the period studied, although laparoscopy increased as laparotomy decreased.
对医院住院患者查询数据进行了分析，以确定1975年至1985年英格兰盆腔炎的出院趋势。被认为与其他病症（如阑尾炎）相关的病例被排除在分析之外。在审查期间，急性和慢性疾病的出院率均有所上升，总疾病出院率上升了28%。20多岁的女性最有可能患病，而且该年龄组的出院率上升幅度最大，无论是急性还是慢性疾病。在20 - 24岁年龄组中，急性疾病的出院率从1975年的125.6/10万上升至1985年的189.0/10万，上升了50%。诊断为慢性盆腔炎的患者往往比急性疾病患者年龄更大。离婚女性患急性和慢性疾病的风险均高于单身或已婚女性。仅在患有慢性疾病的患者中，用于确诊的手术使用量有所增加。约四分之一的急性疾病患者通过手术确诊，在研究期间这一比例没有变化，尽管腹腔镜检查增加而剖腹手术减少。
