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虽然IUD已广泛使用了很长时间,但在急性输卵管炎的情况下是否取出,尚不能确定。一般外科处理原则是将炎症处的异物取出,但是取出IUD却有很多不利,如怀孕、细菌蔓延和炎症加剧等。本实验观察了IUD是否影响急性输卵管炎的治愈过程。作者自1974年到1979年共选择患急性输卵管炎并使用IUD的53名妇女。所有患者均有突然的盆腔疼痛、附件明显压痛和红血球沉降率(ESR)升高40mm以上/小时等特征。病人随机分成两组。一组在治疗前取出IUD,另一组仍保留。治疗前两组病人的ESR、IUD类型和感染淋球菌的人数均无明显差异。采用同样的抗菌素剂量和疗程治疗两组病人。由于ESR的高低能够反映该病的进展和治愈过程,因而主要通过
Although IUD has been widely used for a long time, it is uncertain whether it is taken out in the case of acute salpingitis. The general principle of surgical treatment is to remove the foreign body in the area of inflammation, but removing the IUD has many disadvantages, such as pregnancy, bacterial spread and increased inflammation. The experiment observed whether IUD affect the salvage process of acute salpingitis. The authors selected 53 women with acute salpingitis and using IUD from 1974 to 1979. All patients had sudden pelvic pain, attachment was significantly tenderness and erythrocyte sedimentation rate (ESR) increased more than 40mm / hour and other characteristics. Patients were randomly divided into two groups. One group removed the IUD before treatment and the other remained. There was no significant difference in ESR, IUD type and number of Neisseria gonorrhoeae between the two groups before treatment. The same antibiotic dose and course of treatment for both groups of patients. As the level of ESR can reflect the progress of the disease and the healing process, which mainly passed