Kirshon B, Faro S, Phillips L E, Pruett K
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030.
Sex Transm Dis. 1988 Apr-Jun;15(2):103-7. doi: 10.1097/00007435-198804000-00007.
We evaluated 30 patients admitted with a diagnosis of pelvic inflammatory disease (PID) by culdocentesis and ultrasonography to determine the severity of disease in relation to endocervical and culdocentesis bacteriology. Specimens from the endocervix were cultured for Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma hominis, and Ureaplasma urealyticum. In addition, culdocentesis fluid was cultured for aerobes and anaerobes. Patients with N. gonorrhoeae or C. trachomatis had significantly milder disease (P less than 0.05) compared with patients whose specimens were negative for those organisms. Furthermore, those patients with ultrasound confirmation of a tubo-ovarian complex had significantly (P less than 0.0001) greater recovery of aerobes and anaerobes from culdocentesis fluid than did patients with milder disease.
我们通过后穹窿穿刺术和超声检查对30例诊断为盆腔炎（PID）的患者进行评估，以确定疾病严重程度与宫颈内膜及后穹窿穿刺术细菌学之间的关系。取自宫颈内膜的标本用于培养淋病奈瑟菌、沙眼衣原体、人型支原体和解脲脲原体。此外，后穹窿穿刺液用于需氧菌和厌氧菌培养。与标本中这些微生物呈阴性的患者相比，感染淋病奈瑟菌或沙眼衣原体的患者疾病明显较轻（P<0.05）。此外，超声证实有输卵管卵巢复合体的患者，后穹窿穿刺液中需氧菌和厌氧菌的回收率显著高于疾病较轻的患者（P<0.0001）。
