A randomized controlled trial of coil removal prior to treatment of pelvic inflammatory disease
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, cilt.107, sa.1, ss.81-84, 2003 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 107 Sayı: 1
- Basım Tarihi: 2003
- Doi Numarası: 10.1016/s0301-2115(02)00342-1
- Dergi Adı: EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.81-84
- Anahtar Kelimeler: pelvic inflammatory disease, coil, therapy
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Objective: To evaluate the effects of removing coils on the treatment of mild and moderate pelvic inflammatory disease (PID). Methods: Of 126 women who had mild to moderate PID during coil usage, 60 were treated following coil removal and 66 without. Clinical symptoms, findings of gynecologic examination, erythrocyte sedimentation rates (mm/h), leukocyte counts (mm(-3)) were recorded before and after treatment and recovery rates of symptoms and findings were compared with Chi-square and Fisher's absolute Chi-square tests. Student's t-test was used for the comparison of mean sedimentation rates and leukocyte counts. Results: Recovery rates of pelvic pain, purulent vaginal discharge, dysuria/frequency and dyspareunia and clinical improvements in abdominal and cervical tenderness were significantly higher (P < 0.05) in the coil removed group. Conclusions: Removing the coil before medical therapy, increases the rates of clinical improvement in mild to moderate PID. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.