PELVİK ENFLAMATUVAR HASTALIKTA KLİNİK VE LABORATUVAR BULGULARIMIZ

Abstract

Objective: The aim of this study was to compare patients with pelvic inflammatory disease with abscess and those without abscess in relation to clinical and laboratory findings and risk factors in an attempt to highlight the predictors of tuboovarian abscess in pelvic inflammatory disease. Materials and methods: This retrospectively designed study was carried out in Istanbul University, Istanbul Faculty of Medicine, Department of Obstetrics and Gynecology. Fifty-two patients with pelvic inflammatory disease who were hospitalized in our clinic between the years of 1999-2002 were included in this study. Sixteen patients with pelvic inflammatory disease with tuboovarian abscess and 36 patients with pelvic inflammatory disease without any abscess were assessed retrospectively. Both groups were compared with regard to the risk factors, clinical and laboratory parameters such white blood cell counts, age, parity, mucopurulent cervical discharge, curettage and fever, using independent samples t-test and chi square tests. Results: There was no statistically significant difference between the ages of the patients in both groups. The mean of white blood cells and the percentage of patients with multiparity, with cervical discharge, and with fever were statistically significantly higher in the group of patients with pelvic inflammatory disease with abscess than in those without abscess. Conclusion: The findings in this study suggested that multiparity, leucocytosis, mucopurulent discharge and fever could predict tuboovarian abscess formation in pelvic inflammatory disease.