ULTRASONOGRAPHICALLY GUIDED TRANSVAGINAL ASPIRATION OF TUBOOVARIAN ABSCESSES AND PYOSALPINGES - AN OPTIONAL TREATMENT FOR ACUTE PELVIC INFLAMMATORY DISEASE

被引:28
作者
ABOULGHAR, MA [1 ]
MANSOUR, RT [1 ]
SEROUR, GI [1 ]
机构
[1] EL AZHAR UNIV,CAIRO,EGYPT
关键词
VAGINAL ULTRASONOGRAPHY; TRANSVAGINAL ASPIRATION; TUBOOVARIAN ABSCESSES; PYOSALPINGES; ACUTE PELVIC INFLAMMATORY DISEASE;
D O I
10.1016/0002-9378(95)90486-7
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: Our purpose was to assess the value of ultrasonographically guided transvaginal aspiration of tuboovarian abscesses and pyosalpinges presenting with the clinical picture of acute pelvic inflammatory disease. STUDY DESIGN: Fifteen patients seen for acute pelvic inflammatory disease were treated by ultrasonographically guided transvaginal aspiration of pus from tuboovarian abscesses and pyosalpinges, followed by local and systemic administration of antimicrobal therapy. RESULTS: Improvement of symptoms followed aspiration in all patients. Temperature dropped to normal within 24 to 72 hours, and pain completely disappeared within 3 days. All patients were symptom free during a follow-up period of 6 months after aspiration. CONCLUSION: Ultrasonographically guided transvaginal aspiration of pyosalpinges and tuboovarian abscesses is an effective, simple, and safe treatment. It avoided the need for laparoscopy or laparotomy.
引用
收藏
页码:1501 / 1503
页数:3
相关论文
共 11 条
[1]  
ABOULGHAR MA, 1990, FERTIL STERIL, V53, P311
[2]   PERCUTANEOUS CATHETER DRAINAGE OF ABDOMINAL ABSCESSES - A 5-YEAR EXPERIENCE [J].
GERZOF, SG ;
ROBBINS, AH ;
JOHNSON, WC ;
BIRKETT, DH ;
NABSETH, DC .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (12) :653-657
[3]   TRANSVAGINAL PELVIC ABSCESS DRAINAGE WITH US GUIDANCE [J].
NOSHER, JL ;
WINCHMAN, HK ;
NEEDELL, GS .
RADIOLOGY, 1987, 165 (03) :872-873
[4]  
PASTOREK JG, 1989, OBSTET GYN CLIN N AM, V16, P347
[5]   CONSERVATIVE MANAGEMENT OF PELVIC ABSCESS IN RECURRENT PELVIC INFLAMMATORY DISEASE [J].
PICKER, RH ;
MCLENNAN, AC ;
ROBERTSON, RD ;
PORTER, RN .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1991, 1 (01) :60-62
[6]  
REICH H, 1978, J REPROD MED, V32, P747
[7]  
RIVLIN ME, 1983, OBSTET GYNECOL, V61, P169
[8]  
Sweet R L, 1987, Infect Dis Clin North Am, V1, P199
[9]   APPROPRIATE USE OF ANTIBIOTICS IN SERIOUS OBSTETRIC AND GYNECOLOGIC INFECTIONS [J].
SWEET, RL ;
YONEKURA, ML ;
GIBBS, RS ;
ESCHENBACH, DA ;
HILL, G .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1983, 146 (06) :719-739
[10]   TRANSVAGINAL ULTRASOUND IN THE DIAGNOSIS AND TREATMENT OF TUBOOVARIAN ABSCESS [J].
TEISALA, K ;
HEINONEN, PK ;
PUNNONEN, R .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1990, 97 (02) :178-180