一项关于输卵管卵巢及卵巢脓肿的研究，重点关注子宫内膜异位症相关病例。
A study of tubo-ovarian and ovarian abscesses, with a focus on cases with endometrioma.
作者信息
Kubota T, Ishi K, Takeuchi H
机构信息
Department of Obstetrics and Gynecology, Juntendo University, Juntendo Urayasu Hospital, Chiba, Japan.
出版信息
J Obstet Gynaecol Res. 1997 Oct;23(5):421-6. doi: 10.1111/j.1447-0756.1997.tb00867.x.
OBJECTIVE
To determine the incidence and causes of endometrioma-associated tubo-ovarian abscesses (TOAs) and ovarian abscesses.
METHODS
The medical records of 6,557 gynecologic inpatients were reviewed, and the data were analyzed using the median test and chi 2 test.
RESULTS
The incidence of TOAs was 2.3% (5/218) in patients with endometrioma, and 0.2% (11/6,339) in patients without endometrioma (p = 0.0001). Among the TOA cases (n = 16), no significant differences in age, parity, history of pelvic surgery, or isolated organisms were observed between the subgroups with (n = 5) and without endometrioma (n = 11). There were only 2 cases of ovarian abscess, and both were associated with endometrioma. The causes of the abscesses in the 7 cases with endometrioma were contamination during surgery (1 case), contamination during a transvaginal endometrioma aspiration (1 case), and ascending infection (1 case), and unknown in 4 cases.
CONCLUSIONS
The presence of endometrioma is a risk factor for the development of a TOA or an ovarian abscess.
目的
确定子宫内膜异位囊肿相关的输卵管卵巢脓肿（TOA）和卵巢脓肿的发生率及病因。
方法
回顾6557例妇科住院患者的病历，并采用中位数检验和卡方检验进行数据分析。
结果
子宫内膜异位囊肿患者中TOA的发生率为2.3%（5/218），无子宫内膜异位囊肿患者中TOA的发生率为0.2%（11/6339）（p = 0.0001）。在TOA病例（n = 16）中，有子宫内膜异位囊肿（n = 5）和无子宫内膜异位囊肿（n = 11）的亚组之间，在年龄、产次、盆腔手术史或分离出的微生物方面未观察到显著差异。仅2例卵巢脓肿，均与子宫内膜异位囊肿相关。7例有子宫内膜异位囊肿的脓肿病例中，病因分别为手术中污染（1例）、经阴道子宫内膜异位囊肿穿刺抽吸时污染（1例）、上行感染（1例），4例病因不明。
结论
子宫内膜异位囊肿的存在是发生TOA或卵巢脓肿的危险因素。
Zotero 插件