Kolmorgen K, Straube E, Seidenschnur G, Naumann G
Zentralbl Gynakol. 1983;105(4):212-9.
Cultures of abdominal bioptic material from 102 cases of acute pelvic inflammatory disease diagnosed laparoscopically revealed that anaerobes were involved in 42.2% of the cases; 18.6% of the cultures were sterile. There were no signs that anaerobes predominate in cases, in which an abscess has already formed. The proportion of predominantly polymicrobial multiple infections was 54.2%, the remaining 45.8% of the cases involving mono-microbial infection. Scrutiny of the abdominal and cervical distribution of the germs in 42 of our female patients confirmed that cervical smears are inadequate for detecting the causal germ involved in a case of acute pelvic laparoscopy it seems advisable to use abdominal cultures of tissue taken from the locality of the inflammation in order to identify exactly the causal germ and to test these cultures also for anaerobes and gonococci.
对102例经腹腔镜诊断的急性盆腔炎患者的腹部活检材料进行培养，结果显示42.2%的病例有厌氧菌感染；18.6%的培养物无菌生长。没有迹象表明在已形成脓肿的病例中厌氧菌占主导。以多种微生物为主的混合感染比例为54.2%，其余45.8%的病例为单一微生物感染。对42例女性患者的腹部和宫颈细菌分布情况进行仔细检查后证实，宫颈涂片不足以检测出急性盆腔炎病例中的致病细菌。对于急性盆腔炎病例，似乎最好采用取自炎症部位的腹部组织培养物，以便准确鉴定致病细菌，并对这些培养物进行厌氧菌和淋球菌检测。
