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골반염 환자에서 Fitz-Hugh-Curtis 증후군이 동반된 경우와 동반되지 않은 경우의 비교 분석

Other Titles
 Comparative analysis of pelvic inflammatory diseasewith and without Fitz-Hugh-Curtis syndrome 
Authors
 윤덕경  ;  서경  ;  이미범  ;  이경은  ;  전영은 
Citation
 Korean Journal of Obstetrics and Gynecology (대한산부인과학회지), Vol.51(6) : 659-664, 2008 
Journal Title
Korean Journal of Obstetrics and Gynecology(대한산부인과학회지)
ISSN
 1738-5628 
Issue Date
2008
Keywords
Pelvic inflammatory disease ; Fitz-Hugh-Curtis syndrome ; Chlamydia
Abstract
Objective: This study was performed to compare the characteristics, hematologic findings, microbiologic results, and radiologic findings of the patients with Fitz-Hugh-Curtis Syndrome (FHCS) to those without perihepatitis.

Methods: From January 2003 to June 2006, 120 patients of PID with FHCS and 212 patients of PID only were included in this study. Patients’ medical records including cervical cultures, chlamydia polymerase chain reaction (PCR), abdomen and pelvic computed tomography (CT), and transvaginal sonography were analysed retrospectively.

Results: PID with FHCS group had significantly higher incidence of right upper quadrant abdominal pain (p<0.01) and significantly lower incidence of lower abdominal pain than PID only group (p<0.01). PID with FHCS group was associated with significantly higher erythrocyte sedimentation rate (ESR) in comparison to that of PID only group. In addition, significantly higher incidence of chlamydia infection and intrauterine device user were noted in PID with FHCS group.

Conclusions: In PID patients with right upper quadrant abdominal pain, accompanied by elevated ESR, suspicion of chlamydia infection, and intrauterine device in situ, physicians should actively perform procedures including abdomen and pelvic CT and laparoscopic surgery for early diagnosis of FHCS.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Seo, Kyung(서경)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106402
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