Doppler flow characteristics in patients with pelvic inflammatory disease: responders versus nonresponders to therapy.
OBJECTIVE
The objective of this retrospective study was to evaluate the role of Doppler flow studies in predicting the response to antibiotic treatment in patients with pelvic inflammatory disease (PID).


METHODS
The resistance indices in pelvic masses of 24 patients with clinical diagnoses of PID were analyzed.


RESULTS
Twelve patients responded favorably to antibiotic treatment (the conservative treatment group), while the other patients showed no clinical improvement and underwent surgery (surgical treatment group). The mean resistance index in the conservative treatment group was significantly higher (0.60 +/- 0.15) than that in the surgical treatment group (0.52 +/- 0.08; p < 0.05).


CONCLUSIONS
In keeping with hyperemia of inflammation, fallopian arterial resistance seems to decrease with the severity of PID.
Tepper
R
R
Department of Obstetrics and Gynecology, Sapir Medical Center, Kfar Saba, Israel.
Aviram
R
R
Cohen
N
N
Cohen
I
I
Holtzinger
M
M
Beyth
Y
Y
D000290:Adnexa Uteri / Q000098:blood supply; D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D016022:Case-Control Studies; D019818:Clavulanic Acid / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008795:Metronidazole / Q000627:therapeutic use; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000601:surgery; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D018615:Ultrasonography, Doppler, Color
D005839:Gentamicins; D008795:Metronidazole; D019818:Clavulanic Acid; D000658:Amoxicillin