Relationships between transvaginal colour Doppler findings, infectious parameters and visual analogue scale scores in patients with mild acute pelvic inflammatory disease.
OBJECTIVE
To investigate the relationships between colour Doppler findings, infectious parameters and visual analogue scale (VAS) scores in patients with mild acute pelvic inflammatory disease (PID).


METHODS
Twenty-seven patients diagnosed with PID were enrolled in the study. Resistance index (RI) and pulsatility index (PI) of uterine, arcuate and utero-ovarian arteries were measured, as well as VAS score, erythrocyte sedimentation rate, C-reactive protein, white blood cell count and body temperature at hospital admission. After the initial visit, all measurements were repeated and recorded on days 7, 15 and 30.


RESULTS
PI and RI values of uterine arteries showed significant increases between days 1 and 7. However, PI and RI values of uterine arteries, RI values of arcuate arteries and RI values of utero-ovarian arteries showed significant increases between days 1 and 30. Statistically significant decreases in infectious parameters and VAS scores were observed between days 1 and 7, days 1 and 15 and days 1 and 30.


CONCLUSIONS
Infectious parameters and VAS scores showed concordant changes with clinical recovery in mild PID. Significant changes were also observed in PI and RI values of uterine arteries, but Doppler measurements of arcuate and utero-ovarian arteries showed a slower and later response to treatment.
Department of Obstetrics and Gynaecology, Government Hospital of Ahlat, Bitlis, Turkey. mdkorayozbay@yahoo.com
Koray
K
Özbay
Serol
S
Deveci
D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001799:Blood Sedimentation / Q000187:drug effects; D001831:Body Temperature / Q000187:drug effects; D002097:C-Reactive Protein / Q000032:analysis; D002584:Cervix Uteri / Q000382:microbiology; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007958:Leukocyte Count; D010053:Ovary / Q000098:blood supply / Q000187:drug effects; D010147:Pain Measurement / Q000187:drug effects*; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000276:immunology / Q000382:microbiology; D012720:Severity of Illness Index; D013997:Time Factors; D018615:Ultrasonography, Doppler, Color; D055988:Uterine Artery / Q000000981:diagnostic imaging* / Q000187:drug effects; D014599:Uterus / Q000098:blood supply* / Q000187:drug effects; D014655:Vascular Resistance / Q000187:drug effects; D055815:Young Adult
D000890:Anti-Infective Agents; D002097:C-Reactive Protein