[The role of anti-inflammatory agents in the treatment of acute salpingitis. A randomized study of 40 patients with celioscopic control].
In a randomised second look laparoscopic study, concomitant antibiotic--anti-inflammatory therapy for the treatment of pelvic inflammatory disease (P.I.D.) was studied. Six weeks after medical treatment results were evaluated during second look laparoscopy based on three parameters: residual inflammation, pelvic adhesions and tubal patency. The combination treatment resulted in decreased pelvic adhesion and tubal occlusion in severe forms of P.I.D. Anti-inflammatory agents combined with anti-biotics are not more beneficial than anti-biotics alone in mild and moderate forms of P.I.D. so combination therapy must be reserved for severe forms of P.I.D.
Bassil
S
S
Polyclinique Gynécologie-Obstétrique et Médecine de la Reproduction, CHRU Clermont-Ferrand I, Université Clermont-Ferrand I.
Le Bouedec
G
G
Mage
G
G
Pouly
J L
JL
Canis
M
M
Wattiez
A
A
Chapron
C
C
Bruhat
M A
MA
D000284:Administration, Oral; D000328:Adult; D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use*; D019980:Amoxicillin-Potassium Clavulanate Combination; D002969:Clavulanic Acids / Q000008:administration & dosage / Q000627:therapeutic use*; D004318:Doxycycline / Q000008:administration & dosage / Q000627:therapeutic use*; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D010535:Laparoscopy; D010894:Piroxicam / Q000008:administration & dosage / Q000627:therapeutic use*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012488:Salpingitis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D012720:Severity of Illness Index
D002969:Clavulanic Acids; D010894:Piroxicam; D019980:Amoxicillin-Potassium Clavulanate Combination; D000658:Amoxicillin; D004318:Doxycycline
Place des anti-inflammatoires dans le traitement des salpingites aiguës. A propos d'une étude randomisée de 40 patientes avec contrôle coelioscopique.