上海医科大学中山临床医学院教案妇产科学精品课程.doc

2012年复旦大学上海医学院妇产科学系英文教案

教研室（科） 妇产科 姓名 隋龙 职称 主任医师 2 盆腔炎性疾病 授课题目 节次 Pelvic Inflammatory Disease 授课对象 08级6年制临床医学专业留学生班 授课 日期 2012-10-23

%1. Objectives 1. 2. To comprehend the causes of PID. To be up on the procedure to diagnose and treat PTDs. 3 . To introduce 2010 CDC guidelines for diagnosis & treatment of PID. %1. Contents of courses 1. Definition and Epidemiology Pelvic inflammatory disease (or disorder) (PID) is a generic term for inflammation of the uterus, fallopian tubes, and/or ovaries as it progresses to scar formation with adhesions to nearby tissues and organs. It is a clinical diagnosis implying that the patient has upper genital tract infection and inflammation. The inflammation may be present at any point along a continuum that includes endometritis, salpingitis, and peritonitis . N. gonorrhoea is isolated in 40-60% of women with acute salpingitis. C. trachomatis is estimated to be the cause in about 60% of cases of salpingitis, which may lead to PID. 2. Diagnosis and Differential diagnosis Clinical Criteria for the Diagnosis of Pelvic Inflammatory Disease. Additional criteria to increase the specificity of the diagnosis Elaborate criteria Differential diagnosis:Appendicitis, ectopic pregnancy, septic abortion, hemorrhagic or ruptured ovarian cysts or tumors, twisted ovarian cyst, degeneration of a myoma, and acute enteritis must be considered. 3. Complications Chronic pelvic pain, infertility, ectopic pregnancy and other dangerous complications of pregnancy. 4. Treatment Therapy regimens for PID must provide empirical, broad-spectrum coverage of likely pathogens, including N. gonorrhoeae^ C. trachomatis. gramnegative facultative bacteria, anaerobes’ and streptococci. An outpatient regimen An inpatient parenteral regimen Indication for surgical treatment The value of laparoscopy in the treat of PID Tubo-ovarian Abscess

%1. Teaching Plan and Time Distribution （一） Contents and time plan L Definition and Epidemiology lOmins Introduction of new definition of pelvic inflammatory disease The epidemiology of PID in China and worldwide The inflammation may be present at any point along a continuum that includes endometritis, salpingitis, and peritonitis . N. gonorrhoea is isolated in 40-60% ,and C. trachomatis is estimated to be the cause in about 60% of cases of salpingitis, which may lead to PID. 2. Diagnosis and Differential diagnosis 15mins Introduction of clinical criteria for the Diagnosis of Pelvic Inflammatory Disease. Additional criteria to increase the specificity of the diagnosis Elaborate criteria Differential diagnosis:Appendicitis, ectopic pregnancy, septic abortion, hemorrhagic or ruptured ovarian cysts or tumors, twisted ovarian cyst, degeneration of a myoma, and acute enteritis must be considered. 3. Complications 5mins The mechanism of formation of Chronic pelvic pain, infertility, ectopic pregnancy and other dangerous complications of pregnancy result from PID. 4. T reatment lOmins Therapy regimens for PID An outpatient regimen An inpatient parenteral regimen Indication for surgical treatment The value of laparoscopy in the treat of PID Tubo-ovarian Abscess 5