Entzündliche Erkrankungen des Uterus und der Adnexe

详细信息    查看全文

• 作者：Dr. J. Jückstock ; T. Blankenstein ; S. Mahner ; I. Mylonas
• 关键词：Adnexitis ; Ovarian vein thrombosis ; Pelvic inflammatory disease ; Laparoscopy ; Antibiotics
• 刊名：Der Gyn?kologe
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：49
• 期：3
• 页码：189-200
• 全文大小：1,173 KB
• 参考文献：1.Barrett S, Taylor C, Taylor C (2005) A review on pelvic inflammatory disease. Int J STD AIDS 16(11):715–720 (quiz 721)CrossRef PubMed
  2.Mylonas I, Friese K (2010) Infektionen in Gynäkologie und Geburtshilfe. Elsevier, München, S 418
  3.Westrom L (1980) Incidence, prevalence, and trends of acute pelvic inflammatory disease and its consequences in industrialized countries. Am J Obstet Gynecol 138(7 Pt 2):880–892PubMed
  4.Mylonas I (2015) Sexuell übertragbare Erkrankungen: Ein Leitfaden für Frauenärzte. Springer, Berlin, S 380
  5.Hoyme U (2015) Salpingitis. Gynäkologe 48:787–794CrossRef
  6.Simms I et al (2006) Risk factors associated with pelvic inflammatory disease. Sex Transm Infect 82(6):452–457CrossRef PubMed PubMedCentral
  7.Friese K, Schäfer A, Hof H (2003) Infektionskrankheiten in Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg, New York, TokioCrossRef
  8.Mylonas I, Friese K (2008) Infektiologische Erkrankungen in der Gynäkologie. In: Janni W, Rack B, Friese K (Hrsg) Facharzt Gynäkologie. Elsevier, München
  9.Greydanus DE, Dodich C (2015) Pelvic inflammatory disease in the adolescent: a poignant, perplexing, potentially preventable problem for patients and physicians. Curr Opin Pediatr 27(1):92–99CrossRef PubMed
  10.Brunham RC, Gottlieb SL, Paavonen J (2015) Pelvic inflammatory disease. N Engl J Med 372(21):2039–2048CrossRef PubMed
  11.Haggerty CL et al (2006) Mycoplasma genitalium among women with nongonococcal, nonchlamydial pelvic inflammatory disease. Infect Dis Obstet Gynecol 2006:30184CrossRef PubMed PubMedCentral
  12.Mendling W (2006) Vaginose, Vaginitis, Zervizitis und Salpingitis Bd. 2. Springer Medizin, Heidelberg
  13.Eschenbach DA et al (1997) Acute pelvic inflammatory disease: associations of clinical and laboratory findings with laparoscopic findings. Obstet Gynecol 89(2):184–192CrossRef PubMed
  14.Lusk MJ, Konecny P (2008) Cervicitis: a review. Curr Opin Infect Dis 21(1):49–55PubMed
  15.Woods JL et al (2011) Cervicitis in adolescents: do clinicians understand diagnosis and treatment? J Pediatr Adolesc Gynecol 24(6):359–364CrossRef PubMed PubMedCentral
  16.Hoyme U (2006) Klinik der entzündlichen Erkrankungen des Uterus und der Adnexe. Gynäkologe 39:981–995CrossRef
  17.Petersen E (2003) Infektionen in Gynäkologie und Geburtshilfe. Thieme, StuttgartCrossRef
  18.Hager WD et al (1983) Criteria for diagnosis and grading of salpingitis. Obstet Gynecol 61(1):113–114PubMed
  19.Schindlbeck C, Dziura D, Mylonas I (2014) Diagnosis of pelvic inflammatory disease (PID): intra-operative findings and comparison of vaginal and intra-abdominal cultures. Arch Gynecol Obstet 289(6):1263–1269CrossRef PubMed
  20.Tukeva TA et al (1999) MR imaging in pelvic inflammatory disease: comparison with laparoscopy and US. Radiology 210(1):209–216CrossRef PubMed
  21.Boardman LA et al (1997) Endovaginal sonography for the diagnosis of upper genital tract infection. Obstet Gynecol 90(1):54–57CrossRef PubMed
  22.WHO (2005) Sexually transmitted diseases and other reproductive tract infections: a guide to essential practice. WHO, New York
  23.Westrom B, Mardh PA et al (1990) Acute pelvic inflammatory disease. In: Holmes KK (Hrsg) Sexually transmitted diseases. Mc Graw, New York, S 593–620
  24.Safrin S et al (1992) Long-term sequelae of acute pelvic inflammatory disease. A retrospective cohort study. Am J Obstet Gynecol 166(4):1300–1305CrossRef PubMed
  25.Ross J, Judlin P, Jensen J (2012) European guideline for the management of pelvic inflammatory disease. Int J STD AIDS 25(1):1–7CrossRef
  26.Westrom L (1975) Effect of acute pelvic inflammatory disease on fertility. Am J Obstet Gynecol 121(5):707–713PubMed
  27.Gibbs RS (1980) Clinical risk factors for puerperal infection. Obstet Gynecol 55(5 Suppl):178S–184SCrossRef PubMed
  28.Wager GP et al (1980) Puerperal infectious morbidity: relationship to route of delivery and to antepartum Chlamydia trachomatis infection. Am J Obstet Gynecol 138(7 Pt 2):1028–1033PubMed
  29.Eschenbach DA, Wager GP (1980) Puerperal infections. Clin Obstet Gynecol 23(4):1003–1037CrossRef PubMed
  30.Burrows LJ, Meyn LA, Weber AM (2004) Maternal morbidity associated with vaginal versus cesarean delivery. Obstet Gynecol 103(5 Pt 1):907–912CrossRef PubMed
  31.Schneider H, Husslein P‑W, Schneider KTM (2011) Die Geburtshilfe. Springer, HeidelbergCrossRef
  32.Mackeen AD et al (2015) Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev 2:CD001067PubMed
  33.Mendling W (1987) Puerperalsepsis durch Ovarialvenenthrombophlebitis. Gynakol Prax 11:431–435
  
• 作者单位：Dr. J. Jückstock (1)
  T. Blankenstein (1)
  S. Mahner (1)
  I. Mylonas (1)
  
  1. Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, LMU, Maistr. 11, 80337, München, Deutschland
  
• 刊物主题：Gynecology; Obstetrics/Perinatology; Endocrinology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1433-0393

文摘

Inflammatory diseases of the uterus and uterine appendages are mainly caused by ascension of pathogens through the vagina, less commonly by intra-abdominal processes and are also known as pelvic inflammatory disease (PID). Clinical symptoms of cervicitis are often nearly absent, while symptoms of endomyometritis are bleeding disorders sometimes accompanied by systemic infections. In the case of inflammation of the uterine appendages lower abdominal pain is the main clinical sign. Postpartum endometritis and septic ovarian vein thrombophlebitis can be life-threatening if diagnosed too late. Administration of suitable antibiotic combination regimes for a sufficiently long time is crucial in the treatment of inflammatory diseases of the uterus and uterine appendages. In some cases, additional surgical treatment is needed. Typical complications of PID are tubal infertility, ectopic pregnancy and chronic lower abdominal pain.