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雑誌文献

臨床婦人科産科74巻6号

2020年06月発行

文献概要

今月の臨床 外来でみる子宮内膜症診療―患者特性に応じた管理・投薬のコツ ライフステージに応じた患者への対応

子宮内膜症をもつ患者に産婦人科処置を行う際には骨盤内感染・卵巣膿瘍に要注意!―ART手技を含めて

著者: 梶原健1 左勝則1 高村将司1

所属機関: 1埼玉医科大学産科婦人科

ページ範囲:P.579 - P.583

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●子宮内膜症(特に子宮内膜症性卵巣囊胞)の存在は子宮内操作を伴う婦人科処置をする際,骨盤内感染発症のリスク因子となる.

●卵管卵巣膿瘍に進展した際には,外科的な処置が必要になることが多く,その後に妊孕性が大きく損なわれることがある.

●特に子宮内膜症性卵巣囊胞が併存している症例の処置を行う際には,処置中の抗菌薬の投与など十分な感染を予防する手段を講じる必要がある.

参考文献

1)Moini A, et al : Endometriosis may contribute to oocyte retrieval-induced pelvic inflammatory disease : report of eight cases. J Assist Reprod Genet 22 : 307-309, 2005
2)Younis JS,et al : Late manifestation of pelvic abscess following oocyte retrieval, for in vitro fertilization, in patients with severe endometriosis and ovarian endometriomata. J Assist Reprod Genet 14 : 343-346, 1997
3)McNeeley SG, et al : Medically sound, cost-effective treatment for pelvic inflammatory disease and tuboovarian abscess. Am J Obstet Gynecol 178 : 1272-1278, 1998
4)Padilla SL : Ovarian abscess following puncture of an endometrioma during ultrasound-guided oocyte retrieval. Hum Reprod 8 : 1282-1283, 1993
5)Chen MJ, et al : Increased occurrence of tubo-ovarian abscesses in women with stage III and IV endometriosis. Fertil Steril 82 : 498-499, 2004
6)Grammatikakis I, et al : Prevalence of severe pelvic inflammatory disease and endometriotic ovarian cysts : a 7-year retrospective study. Clin Exp Obstet Gynecol 36 : 235-236, 2009
7)Elizur SE, et al : Pelvic inflammatory disease in women with endometriosis is more severe than in those without. Aust N Z J Obstet Gynaecol 54 : 162-165, 2014
8)Benaglia L, et al : Endometrioma and oocyte retrieval-induced pelvic abscess : a clinical concern or an exceptional complication? Fertil Steril 89 : 1263-1266, 2008
9)Dicker D, et al : Severe abdominal complications after transvaginal ultrasonographically guided retrieval of oocytes for in vitro fertilization and embryo transfer. Fertil Steril 59 : 1313-1315, 1993
10)Bennett SJ, et al : Complications of transvaginal ultrasound-directed follicle aspiration : a review of 2670 consecutive procedures. J Assist Reprod Genet 10 : 72-77, 1993
11)Mirhashemi R, et al : Trends in the management of pelvic abscesses. J Am Coll Surg 188 : 567-572, 1999
12)van Os HC, et al : Vaginal disinfection with povidon iodine and the outcome of in-vitro fertilization. Hum Reprod 7 : 349-350, 1992
13)Tsai YC, et al : Vaginal disinfection with povidone iodine immediately before oocyte retrieval is effective in preventing pelvic abscess formation without compromising the outcome of IVF-ET. J Assist Reprod Genet 22 : 173-175,2005
14)Practice Committee of the American Society for Reproductive Medicine : Committee opinion : role of tubal surgery in the era of assisted reproductive technology. Fertil Steril 97 : 539-545, 2012
15)Møller BR, et al : Pelvic inflammatory disease after hysterosalpingography associated with Chlamydia trachomatis and Mycoplasma hominis. Br J Obstet Gynaecol 91 : 1181-1187, 1984
16)ACOG Committee on Practice Bulletins--Gynecology. ACOG practice bulletin No.104 : antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol 113 : 1180-1189, 2009
17)Pereira N, et al : Antibiotic prophylaxis for gynecologic procedures prior to and during the utilization of assisted reproductive technologies : a systematic review. J Pathog, doi:10.1155/2016/

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

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