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Korean Journal of Obstetrics & Gynecology 2008;51(9):1017-1024.
Published online September 1, 2008.
Clinical analysis of laparoscopic surgery of tuboovarian abscess in acute pelvic inflammatory disease.
Ha Kyun Chang, Hee Joong Lee, Tae Chul Park
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. heejoong@catholic.ac.kr
Abstract
OBJECTIVE
To evaluate the clinical characteristics between patients with tuboovarian abscess and those presenting with non-tuboovarian abscess in acute pelvic inflammatory disease according to the operation findings. METHODS: The patients were divided into 2 groups based on the operation findings at laparoscopic surgery; 56 patients diagnosed with evidence of tuboovarian abscess and 74 patients diagnosed with acute pelvic inflammatory disease without tuboovarian abscess. Those were compared with respect to patient characteristics, clinical and laboratory findings depending on the significant differences. RESULTS: There were no significant differences between the two groups considering the percentage of age, parity, mean abortion rate and rate of the history of previous pelvic inflammatory disease. But there were differences in mean white blood cell count, erythrocyte sedimentation rate and C-reactive protein level. A higher number of patients having intrauterine devices were observed in the tuboovarian abscess group than in the non-tuboovarian abscess group. Also, statistical significance was noted in hospital stay after operation but there was no difference in number of sick days prior to operation. CONCLUSION: Our results suggest that some variables noted between the tuboovarian abscess group and acute pelvic inflammatory disease group. These results make easier to calculate diagnostic accuracy of patients prone to developing tuboovarian abscess and prevent subsequent complications from the delay of treatment if sensitivity, specificity, negative and positive predictive values were assessed.
Key Words: Tuboovarian abscess, Acute pelvic inflammatory disease


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