Gjønnaess H, Dalaker K, Anestad G, Mårdh P A, Kvile G, Bergan T
Obstet Gynecol. 1982 May;59(5):550-5.
Chlamydia trachomatis is one of the main etiologic agents in pelvic inflammatory disease (PID) in Oslo. Up to two thirds of the 65 PID cases studied were associated with a chlamydial infection. The incidence of cervical gonorrhea was low (7.7%). Anaerobic bacteria were not isolated from the fallopian tubes or peritoneal fluid of any of the patients. Chlamydia-associated PID is characterized by a protracted course and vague symptoms. The laparoscopic findings indicate more severe inflammatory changes of the tubes than in patients in whom these agents were not found. The highest incidence of chlamydia-associated PID occurred in younger subjects, among whom the intrauterine contraceptive device was more frequently used. Perihepatitis was diagnosed in PID patients with and without chlamydial infection of the genital tract.
沙眼衣原体是奥斯陆盆腔炎（PID）的主要病原体之一。在研究的65例PID病例中，多达三分之二与衣原体感染有关。宫颈淋病的发病率较低（7.7%）。未从任何患者的输卵管或腹腔液中分离出厌氧菌。衣原体相关性PID的特点是病程迁延、症状不明确。腹腔镜检查结果显示，与未发现这些病原体的患者相比，输卵管的炎症变化更严重。衣原体相关性PID的发病率在年轻受试者中最高，其中宫内节育器的使用更为频繁。在有和没有生殖道衣原体感染的PID患者中均诊断出了肝周围炎。
