Kolmorgen K, Heise H
Zentralbl Gynakol. 1982;104(10):590-6.
The presence of gonorrhoea was verified by culturing in 30.3 per cent of 119 patients in whom acute adnexitis had been confirmed by laparoscopy, gonorrhoeal findings being independent of types of inflammation.--Cervical, urethral, and abdominal cultures were prepared from various materials at one and the same time. Positive responses were recorded from them in one third of the cases of gonorrhoea. Three patients exhibited positive reactions only from abdominal cultures.--Additional aerobic and anaerobic pathogens were recorded from abdominal samples in 16 of 29 cases. Their occurrence should be taken into consideration in the treatment of female gonorrhoea with concomitant adnexitis.--A recommendation is made to the effect that abdominal gonorrhoeal cultures should be prepared in all cases of laparoscopy or laparotomy for acute adnexitis. Highest rates of detection can be expected, in that context, from tubal tissue cultures.--An approach is described by which to prepare gonorrhoeal cultures with no transport medium for conditions under which hospital and gonorrhoea laboratory are not located on one and the same premises.
在119例经腹腔镜检查确诊为急性附件炎的患者中，30.3%的患者通过培养证实存在淋病，淋病的检查结果与炎症类型无关。——同时从各种材料中制备宫颈、尿道和腹腔培养物。三分之一的淋病病例中这些培养物呈阳性反应。3例患者仅腹腔培养呈阳性反应。——29例中的16例腹腔样本中检测到其他需氧和厌氧病原体。在治疗伴有附件炎的女性淋病时应考虑它们的存在。——建议在所有因急性附件炎进行腹腔镜检查或剖腹手术的病例中都进行腹腔淋病培养。在这种情况下，输卵管组织培养的检出率最高。——本文描述了一种在医院和淋病实验室不在同一地点的情况下不使用转运培养基制备淋病培养物的方法。
