中国妇幼健康研究2016，Vol.27Issue(10)：1255-1258,4.DOI:10.3969/j.issn.1673-5293.2016.10.029
盆腔炎性疾病诊断探讨—基于临床病例的分析
Discussion of diagnosis of pelvic inflammatory disease:Analysis based on clinical data
摘要
Abstract
Objective To analyze the clinical characteristics and change of pelvic inflammatory disease ( PID) and to discuss the diagnosis criteria for PID.Methods Using retrospective analysis, 458 PID cases hospitalized during the period of 1995 to 2009 because of PID were analyzed including onset age, correlation with sexual life, symptoms, signs, hospital stay and operation rate.Results The average age of patients was 37.06 ±14.91 years old, which was rising gradually ( t=2.255, P=0.025;t=5.403, P<0.001;t=2.871, P=0.004<0.01).Women of childbearing age were the majority, although with a descending proportion from 93.57% in the first 5-year period to 72.28%.Proportion of cases without sexual life and that of postmenopausal women increased from 1.43% to 2.48% and 5.00% to 25.25%, respectively (χ2 =10.041,P<0.001).The main symptoms included lower abdominal pain (70.31%), irregular vaginal bleeding (33.62%), fever (25.55%), and digestive system symptoms (15.72%).Adnexal tenderness (63.98%), uterine tenderness (56.77%), lower abdominal tenderness (48.25%), rebound tenderness (17.03%), lifting pain (25.76%), adnexal thickening (29.04%), and adnexal mass (29.69%) were the main signs when physical examinations were performed.The positive rate of some of these symptoms and signs decreased year by year.Average length of hospital stay was 10.34 days without significant difference (χ2 =0.359, P>0.05), but the rate of operation increased from 26.43%to 57.92%(χ2 =19.556,P<0.001).Conclusion As to diagnosis of PID, we should not only focus on sexual-active women, but pay attention to women without sexual life and postmenopausal women.Overall positive rate of symptoms or signs decreases during these years, however, lower abdominal tenderness still shows high positive rate.Thus we recommend lower abdominal tenderness as one of minimum criteria of PID.关键词
盆腔炎性疾病/诊断/临床特征/最低标准Key words
pelvic inflammatory disease ( PID)/diagnosis/clinical characteristics/minimum criteria分类
医药卫生引用本文复制引用
郑伟,刘腾,薛艳,孙戎,田泉,杨雷,安瑞芳..盆腔炎性疾病诊断探讨—基于临床病例的分析[J].中国妇幼健康研究,2016,27(10):1255-1258,4.基金项目
国家自然科学基金资助项目(项目批准号81172489). （项目批准号81172489）
