[The potentials of echographic diagnosis in pelvic inflammatory disease]

The study was a part of a complex investigation of adnexal inflammatory diseases as a medicosocial problem and its effect on health, working capacity and fertility of the women. Object of the programme was the examination of 529 women, admitted to the gynecological clinic of the Higher Medical Institute in the town of Pleven for the period of 1985-1986. The echographic examination was undertaken before the onset of treatment. Predominating majority of women with pelvic inflammatory pathology was referred to the risk groups, proposed by the authors: young age, intrauterine manipulations, users of intrauterine contraceptive devices, etc. The described diagnostic echographic results were some of the best in the literature respectively for the two clinical groups the noncoincidence between echographic and clinical diagnosis was 10.1 and 11.3%. It should be taken into consideration that the majority of hospitalized patients suffered from chronic adnexitis and diagnosis was established on the basis of multiaspect examination. The specialists, who performed ultrasound examination were well acquainted with concrete clinical and laboratory data.