Bernstien R, Kennedy W R, Waldron J
Int J Fertil. 1987 May-Jun;32(3):229-32.
One hundred eighty-two women were diagnosed by laparoscopy as having an initial episode of acute pelvic inflammatory disease (PID). The classification of PID was based on a modification of Westrom's criteria. Antibiotic treatment followed recommended protocols established by the Centers for Disease Control (CDC). Each year, the woman is contacted to complete a questionnaire detailing her reproductive history, presence of pelvic pain, and menstrual history, as well as other miscellaneous gynecologic history. The study covers a follow-up interval of six months to 8 years. The results are categorized according to the severity of the acute PID, as well as the time elapsed since the infection. A psychological investigation of post-PID pain was performed, and yielded accurate prediction of whether or not pain had been reported by a patient during the acute phase of the disease. Results indicate an increased incidence of involuntary sterility as the disease progresses in severity. The occurrence of ectopic pregnancy is increased for all stages of PID, but most particularly, following tubo-ovarian abscess. The long-term consequences of a single episode of acute PID are often severe.
182名女性经腹腔镜检查被诊断为首次发作急性盆腔炎（PID）。PID的分类基于对韦斯特罗姆标准的修订。抗生素治疗遵循疾病控制中心（CDC）制定的推荐方案。每年与这些女性联系，让她们填写一份问卷，详细说明其生殖史、盆腔疼痛情况、月经史以及其他妇科杂项病史。该研究的随访期为6个月至8年。结果根据急性PID的严重程度以及感染后的时间进行分类。对PID后疼痛进行了一项心理学调查，并准确预测了患者在疾病急性期是否报告过疼痛。结果表明，随着疾病严重程度的增加，非自愿性不育的发生率也会增加。PID各阶段的宫外孕发生率均有所上升，但在输卵管卵巢脓肿后尤为明显。单次急性PID发作的长期后果往往很严重。
