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Abstract：
To assess the characteristics of patients with unilateral and bilateral tubo-ovarian abscess (TOA).
Women diagnosed with TOA during 2003-2017 were included in this retrospective cohort study. TOA was diagnosed using sonography or computerized tomography and clinical criteria, or by surgical diagnosis. Demographics, sonographic data, clinical treatment, surgical treatment, and post-operative information were retrieved.
The study cohort included 144 women who met the inclusion criteria, of whom 78 (54.2%) had unilateral TOA and 66 (45.8%) had bilateral TOA. Baseline characteristics were not different between the groups. There was a statistical trend that women with fewer events of previous PID were less likely to have with bilateral TOA (75.3% vs. 64.1%, respectively; p = 0.074). Women diagnosed with bilateral TOA were more likely to undergo surgical treratment for bilateral salpingo-oophorectomy compared to unilateral TOA (61.5% vs. 42.3%, respectively; p = 0.04). There was no difference in maximum TOA size between groups.
This study detected a trend toward increased need for surgical treatment in women diagnosed with bilateral TOA. These findings may contribute to determining the optimal medical or surgical treatment, potentially leading to a decrease in the duration of hospitalization, antibiotic exposure, and resistance. However, it is important to acknowledge that the results of the current study are limited, and further research is warranted to validate these potential outcomes.
Women diagnosed with TOA during 2003-2017 were included in this retrospective cohort study. TOA was diagnosed using sonography or computerized tomography and clinical criteria, or by surgical diagnosis. Demographics, sonographic data, clinical treatment, surgical treatment, and post-operative information were retrieved.
The study cohort included 144 women who met the inclusion criteria, of whom 78 (54.2%) had unilateral TOA and 66 (45.8%) had bilateral TOA. Baseline characteristics were not different between the groups. There was a statistical trend that women with fewer events of previous PID were less likely to have with bilateral TOA (75.3% vs. 64.1%, respectively; p = 0.074). Women diagnosed with bilateral TOA were more likely to undergo surgical treratment for bilateral salpingo-oophorectomy compared to unilateral TOA (61.5% vs. 42.3%, respectively; p = 0.04). There was no difference in maximum TOA size between groups.
This study detected a trend toward increased need for surgical treatment in women diagnosed with bilateral TOA. These findings may contribute to determining the optimal medical or surgical treatment, potentially leading to a decrease in the duration of hospitalization, antibiotic exposure, and resistance. However, it is important to acknowledge that the results of the current study are limited, and further research is warranted to validate these potential outcomes.
摘要：
目的：评估单侧和双侧输卵管卵巢脓肿（TOA）患者的特征。
方法：这项回顾性队列研究包括2003-2017年诊断为TOA的女性。TOA通过超声检查或计算机断层扫描和临床标准诊断，或通过手术诊断。人口统计,超声波数据,临床治疗,手术治疗,并检索了术后信息。
结果：研究队列包括144名符合纳入标准的女性，其中78人(54.2%)患有单侧TOA，66人(45.8%)患有双侧TOA。两组之间的基线特征没有差异。有一个统计趋势，即既往PID事件较少的女性不太可能患有双侧TOA（75.3％vs.64.1%,分别为；p=0.074）。与单侧TOA相比，诊断为双侧TOA的女性更有可能接受双侧输卵管卵巢切除术的手术治疗（61.5％vs.42.3%,分别为；p=0.04)。组间最大TOA大小没有差异。
结论：本研究发现，诊断为双侧TOA的女性需要手术治疗的趋势增加。这些发现可能有助于确定最佳的医疗或手术治疗，可能导致住院时间减少，抗生素暴露,和阻力。然而,重要的是要承认当前研究的结果是有限的，并且需要进一步的研究来验证这些潜在的结果.
方法：这项回顾性队列研究包括2003-2017年诊断为TOA的女性。TOA通过超声检查或计算机断层扫描和临床标准诊断，或通过手术诊断。人口统计,超声波数据,临床治疗,手术治疗,并检索了术后信息。
结果：研究队列包括144名符合纳入标准的女性，其中78人(54.2%)患有单侧TOA，66人(45.8%)患有双侧TOA。两组之间的基线特征没有差异。有一个统计趋势，即既往PID事件较少的女性不太可能患有双侧TOA（75.3％vs.64.1%,分别为；p=0.074）。与单侧TOA相比，诊断为双侧TOA的女性更有可能接受双侧输卵管卵巢切除术的手术治疗（61.5％vs.42.3%,分别为；p=0.04)。组间最大TOA大小没有差异。
结论：本研究发现，诊断为双侧TOA的女性需要手术治疗的趋势增加。这些发现可能有助于确定最佳的医疗或手术治疗，可能导致住院时间减少，抗生素暴露,和阻力。然而,重要的是要承认当前研究的结果是有限的，并且需要进一步的研究来验证这些潜在的结果.
