Bellier L, Gaujoux F, Diagne A L, Veillard J M
Hôpitaux des Armées.
Med Trop (Mars). 1987 Jul-Sep;47(3):249-63.
From the analysis of 28 records in the gynecological Department of the Hospital Principal in Dakar, all of them recording cases of pelviperitonitis having demanded a surgical intervention, it seems permissible to the authors to maintain the denomination, full of imagery, of "Gynecologic African Complex". They define it as appearing in a peculiar socio-economical environment (in Africa but also in the Third World) and characterised anatomically by an inflammatory pelviperitoneal syndrome presenting a large anatomic diversity. In the studied records, the authors sorted out 14 cases with an acute clinical aspect and 14 with a chronic one. These 28 cases represented 1.5% of the admissions and 5% of the operated patients in the gynecologic Department. The aspect "complex", linked with the polymorphism of the diagnosed lesions (among them 2 tubal tuberculosis, 1 peritoneal tuberculosis, 2 genital bilharziosis) and their frequent association, constitutes a surgical entity about which therapeutic tactics has to be adapted and reasonably mutilating. The concern of preservation must take into consideration future evolution of surgical consequences, genital and obstetrical future of women often young.
通过对达喀尔医院院长妇科的28份记录进行分析，这些记录均为需要进行手术干预的盆腔腹膜炎病例，作者认为保留“妇科非洲综合征”这一充满形象感的命名是合理的。他们将其定义为出现在特殊社会经济环境中（非洲以及第三世界），在解剖学上的特征是炎症性盆腔腹膜综合征呈现出很大的解剖学差异。在研究记录中，作者筛选出14例急性临床表现的病例和14例慢性临床表现的病例。这28例病例占妇科住院患者的1.5%以及手术患者的5%。“综合征”这一方面，与诊断出的病变的多态性（其中2例输卵管结核、1例腹膜结核、2例生殖器血吸虫病）及其频繁关联相关，构成了一个外科实体，针对其治疗策略必须进行调整且会造成相当程度的损伤。保全的考量必须顾及手术后果的未来演变，以及往往较为年轻的女性的生殖和产科未来。
