Buchan H, Vessey M, Goldacre M, Fairweather J
Department of Public Health and Primary Care, University of Oxford, Radcliffe Infirmary.
Br J Obstet Gynaecol. 1993 Jun;100(6):558-62. doi: 10.1111/j.1471-0528.1993.tb15308.x.
To examine patterns of morbidity following hospitalisation for pelvic inflammatory disease (PID).
Cohort study using Oxford Record Linkage Study data.
Oxfordshire and West Berkshire.
One thousand three hundred fifty-five women discharged from hospital for the first time with a diagnosis of pelvic inflammatory disease during the interval 1970-1985, together with 10,507 control women discharged with various other diagnoses.
Hospital admission for abdominal pain, gynaecological pain, endometriosis, hysterectomy, and ectopic pregnancy. Data were not available in this analysis on pregnancies other than ectopic pregnancy.
In comparison with the controls, women with a diagnosis of PID were ten times more likely to be admitted for abdominal pain, four times more likely to be admitted for gynaecological pain, six times more likely to be admitted for endometriosis, eight times more likely to be admitted for hysterectomy and ten times more likely to be admitted for ectopic pregnancy.
Serious sequelae of PID are common, even in a study unable to examine the effects of the disease on fertility. The data on hysterectomy are particularly interesting; the operation in women with pelvic inflammatory disease is most often a consequence of the inflammatory process itself.
研究盆腔炎（PID）住院后的发病模式。
使用牛津记录链接研究数据的队列研究。
牛津郡和西伯克郡。
1970年至1985年间首次因盆腔炎诊断出院的1355名女性，以及因其他各种诊断出院的10507名对照女性。
因腹痛、妇科疼痛、子宫内膜异位症、子宫切除术和异位妊娠住院。本分析中没有除异位妊娠以外的其他妊娠数据。
与对照组相比，诊断为PID的女性因腹痛住院的可能性高10倍，因妇科疼痛住院的可能性高4倍，因子宫内膜异位症住院的可能性高6倍，因子宫切除术住院的可能性高8倍，因异位妊娠住院的可能性高10倍。
即使在一项无法研究该疾病对生育影响的研究中，PID的严重后遗症也很常见。子宫切除术的数据尤其有趣；盆腔炎女性进行该手术最常见的原因是炎症过程本身。
