[The salpingitis diagnosis under scrutiny].
The rationale for the diagnosis of Pelvic Inflammatory Disease (PID) was studied among hospitalized patients at the Department of Gynaecology, Regional Hospital of Trondheim, Trondheim. From 1 January 1991 to 31 December 1993, 153 patients were discharged with a diagnosis of Pelvic Inflammatory Disease. In retrospect, the diagnoses were reconsidered applying strict criteria. All 26 patients (17%) who had a diagnosis verified by laparoscopy were classified as suffering from a "true" diagnosis, 83 (54%) patients were reconsidered as suffering from a "more likely" and 44 (29% as suffering from a "less likely" diagnosis of Pelvic Inflammatory Disease. Women who had a laparoscopy verified diagnosis of Pelvic Inflammatory Disease, had higher ESR (erythrocyte sedimentation rate), C-reactive protein and temperature when compared with women reclassified as "less likely" suffering from Pelvic Inflammatory Disease. Only 72% of the patients had microbiological sampling from the cervix. In order to increase diagnostic precision we argue for minimum criteria and a systematic clinical examination, including vaginal ultrasound, when diagnosing Pelvic Inflammatory Disease. We recommend more diagnostic use of laparoscopy especially among women with mild symptoms and few objective signs.
Vánky
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E
Kvinneklinikken Regionsykehuset i Trondheim.
Skjeldestad
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FE
D000293:Adolescent; D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D010535:Laparoscopy; D017533:Marital Status; D008875:Middle Aged; D010351:Patient Discharge; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D012189:Retrospective Studies; D012488:Salpingitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography