Comparative analysis of pelvic inflammatory disease with and without Fitz-Hugh-Curtis syndrome / 대한산부인과학회지

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.

A Research on the Actual Condition of Antenatal Screening Application in Obstetric Clinics in Korea and Suggestions for Preparation of Antenatal Screening Guideline / 대한산부인과학회지

OBJECTIVE: Many countries including U.S. have established their own Antenatal Screening Guideline suitable for their actual state to help Obstetricians detect pregnancy-related problems in clinical conditions. However, even investigations on the actual condition of Antenatal Screening in clinical conditions are not thoroughgoing enough in Korea. Therefore, this study was to survey the actual condition of Antenatal Screening in Obstetric Clinics in Korea. METHODS: Among 868 Obstetric Clinics, in which 100 or more cases of delivery were performed per annum according to an aggregate summary of the National Health Insurance Corporation in 2001, 848 clinics representing their correct address were selected to carry out a cross-sectional descriptive survey and understand the actual state of Antenatal Screening with literature review. RESULTS: Antenatal Screening Tests have been carried out in a diverse forms in Obstetric Clinics; some items (CBC, Urine analysis, VDRL test, ABO and Rh typing, HBs Ag and HBs Ab test, Triple test, Ultrasound, Rubella Ig M and Ig G test, Oral Glucose Tolerance test) of the test were performed as a basic test in 80% or higher of Obstetric Clinics; some items (Chlamydia test, PAPP-A, Chest X-ray, BUN, Creatinine, EKG, Cervix culture for Gonococcus) of the test were performed routinely in 10% or less of Obstetric Clinics or selectively in high-risk pregnant women; and some items (PAP smear, Blood chemistry, Nuchal translucency) of the test were performed on the basis of physician's experience or given conditions. CONCLUSION: According to the findings of this study, the role of Antenatal Tests as a screening test in clinical conditions is not evaluated properly under the current state. Thus, clinical assessment should be performed for each item of Antenatal Tests with respect to a screening test and systematic and efficient Antenatal Screening Guideline suitable for Korean conditions should be established in future studies.