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多次宫腔内人工授精后复发性盆腔炎性疾病

Recurrent Pelvic Inflammatory Disease After Serial Intrauterine Inseminations.

作者信息

Karasek Lubos, Svobodova Pavla, Kiss Imrich, Smetana Jan

机构信息

Department of Gynecology 3rd Faculty of Medicine of Charles University and Military University Hospital Prague, Military University Hospital Prague, Prague, Czech Republic.

Department of Epidemiology, Military Faculty of Medicine, University of Defence, Hradec Kralove, Czech Republic.

出版信息

Case Rep Obstet Gynecol. 2025 Jun 22;2025:1426202. doi: 10.1155/crog/1426202. eCollection 2025.

DOI:10.1155/crog/1426202
PMID:40589505
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12206568/
Abstract

Intrauterine insemination is a basic method of assisted reproduction. It enables direct deposition of sperm inside the uterine cavity. The complications are rare. Multiple pregnancy or ovarian hyperstimulation can occur when concomitant ovulation induction is performed. The risk of pelvic inflammatory disease due to the artificial cervical barrier breach is very low, but the possible consequences are serious. We present a case of recurrent pelvic inflammatory disease following consecutive intrauterine inseminations. Pelvic inflammatory disease pathophysiology and treatment approaches are discussed. Inflammatory complications of the IUI are rare, but the possible impact on fertility can be devastating. Prevention of the PID together with prompt diagnosis and individualized therapy should be assured to preserve fertility.

摘要

宫腔内人工授精是辅助生殖的一种基本方法。它能使精子直接注入宫腔内。并发症较为罕见。当同时进行促排卵时，可能会发生多胎妊娠或卵巢过度刺激。由于人工宫颈屏障破裂导致盆腔炎的风险很低，但可能的后果很严重。我们报告一例连续进行宫腔内人工授精后反复发生盆腔炎的病例。文中讨论了盆腔炎的病理生理学及治疗方法。宫腔内人工授精的炎症并发症罕见，但对生育能力可能产生的影响是毁灭性的。应确保预防盆腔炎，同时进行及时诊断和个体化治疗以保护生育能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/975ad5b3fd61/CRIOG2025-1426202.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/55bb754f5a41/CRIOG2025-1426202.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/3e850f59f1af/CRIOG2025-1426202.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/975ad5b3fd61/CRIOG2025-1426202.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/55bb754f5a41/CRIOG2025-1426202.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/3e850f59f1af/CRIOG2025-1426202.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b179/12206568/975ad5b3fd61/CRIOG2025-1426202.003.jpg

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Recurrent Pelvic Inflammatory Disease After Serial Intrauterine Inseminations.多次宫腔内人工授精后复发性盆腔炎性疾病
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本文引用的文献

1
Etiology and Diagnosis of Pelvic Inflammatory Disease: Looking Beyond Gonorrhea and Chlamydia.盆腔炎的病因与诊断：超越淋病和衣原体的思考。
J Infect Dis. 2021 Aug 16;224(12 Suppl 2):S29-S35. doi: 10.1093/infdis/jiab067.
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Sexually Transmitted Infections Treatment Guidelines, 2021.《2021年性传播感染治疗指南》
MMWR Recomm Rep. 2021 Jul 23;70(4):1-187. doi: 10.15585/mmwr.rr7004a1.
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IUI: review and systematic assessment of the evidence that supports global recommendations.IUI：对支持全球建议的证据进行综述和系统评估。
Hum Reprod Update. 2018 May 1;24(3):300-319. doi: 10.1093/humupd/dmx041.
4
Bilateral tubo-ovarian abscesses presenting with huge pelvic mass after repeated intrauterine inseminations in a woman with severe endometriosis.一名患有严重子宫内膜异位症的女性在多次宫内人工授精后出现双侧输卵管卵巢脓肿，并伴有巨大盆腔肿块。
J Obstet Gynaecol Res. 2018 Apr;44(4):792-796. doi: 10.1111/jog.13570. Epub 2018 Jan 5.
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Risk of pelvic inflammatory disease after intrauterine insemination: a systematic review.宫腔内人工授精后盆腔炎性疾病的风险：系统评价。
Reprod Biomed Online. 2018 Feb;36(2):164-171. doi: 10.1016/j.rbmo.2017.11.002. Epub 2017 Nov 24.
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2017 European guideline for the management of pelvic inflammatory disease.2017年欧洲盆腔炎管理指南
Int J STD AIDS. 2018 Feb;29(2):108-114. doi: 10.1177/0956462417744099. Epub 2017 Dec 4.
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Prevalence of Pelvic Inflammatory Disease in Sexually Experienced Women of Reproductive Age - United States, 2013-2014.2013 - 2014年美国育龄有性经历女性盆腔炎患病率
MMWR Morb Mortal Wkly Rep. 2017 Jan 27;66(3):80-83. doi: 10.15585/mmwr.mm6603a3.
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A Rare Case of Flare-Up of PID in Infertility Treatment.不孕症治疗中盆腔炎复发的罕见病例。
Case Rep Obstet Gynecol. 2015;2015:146468. doi: 10.1155/2015/146468. Epub 2015 Oct 27.
9
Factors that predict poor clinical course among patients hospitalized with pelvic inflammatory disease.盆腔炎住院患者临床病程不佳的预测因素。
J Obstet Gynaecol Res. 2014 Feb;40(2):495-500. doi: 10.1111/jog.12189. Epub 2013 Oct 10.
10
Intrauterine insemination.宫内人工授精
Int J Fertil. 1962 Jul-Sep;7:235-40.