골반내 염증 질환 PELVIC INFLAMMATORY DISEASE

목차

I. ACUTE PELVIC INFLAMMATORY DISEASE

II. CHRONIC INFLAMMATORY DISEASE

본문내용

4) follow-up ; 치료후 임질균은 꼭 reculture
II. CHRONIC INFLAMMATORY DISEASE
* pelvic adhesion잘옴 ( infertility는 급성 치료잘하면 안옴 )
1. pathology
1) hydrosalpinx
(1) hydrosalpinx simplex
(2) hydrosalpinx follicularis
2) salpingitis isthmica nodosa ; chrnic inflammatory process가 isthmus부위에만 존재하며 nodulation이 나타남
3) ovary ; perioophritis
2. symptoms and sign
1) symptom ;　
pain,　
infertility
low grade fever
ESR 증가
2) pathologic exam.
pelvic tenderness
thickening of parametrial area
심하면 ovary가 palpable, limited motion
어떤경우 pelvic exam.상 abnormality없는수가 있다
3. diagnosis
1) history
2) physical exam.
3) diagnostic laparoscopy
4) Lab. ; ESR, low grade fever, leukocytosis
4. treatment
1) antibiotic therapy
2) surgery
(1) pain이 prolonged하고 일상생활이 곤란할 정도로 severe한 경우
(2) infertility 치료를 위하여.
　

키워드

pid,   염증,   생식기능,   자궁,   세균,   성병,   난관,   감염