Clinical Diagnosis Boundaries between Pelvic Inflammatory Disease and Endometriosis

Objective: To investigate the clinical pelvic inflammatory disease and the diagnosis of endometriosis boundaries,the correct diagnosis for the 2 kinds of clinical disease,reduce misdiagnosis provide theoretical and practical basis.Methods: Retrospective analysis of 18 cases of clinical pelvic inflammatory disease misdiagnosed as endometriosis clinical data of patients and to the same period 52 cases of patients with endometriosis as controls,univariate and multivariate analysis of different clinical parameters In the identification of pelvic inflammatory disease(PID) and sequelae of pelvic endometriosis(EM) in the role.Results: No sexual pain,no pain in the sacral ligament nodules,chronic abdominal pain and the age at menarche ≥ 14 years the sensitity of diagnosis of PID was 71.2%,94.5%,84.1%,63.3% and 68.7%,specificity was 57.6%,21.3%,57.6%,61.4% and 53.6%.Mix index,the sensitivity is no higher or no sexual pain secondary dysmenorrhea,non-sacral ligament pain,painful nodules or without sexual intercourse,chronic abdominal pain with or without sexual intercourse,age at menarche ≥ 14 years of age or sexual intercourse without pain,chronic abdominal pain sacral ligament pain with or without nodules,the sensitivity was 100%,100%,95.6%,96.7% and 96.4%;specific combination of high indicators of chronic abdominal pain and non-sacral ligament pain,nodules,chronic abdominal pain and no secondary dysmenorrhea,chronic abdominal pain and the age at menarche ≥ 14 years old,and its specificity was 86.7%,85.8% and 82.1%.Conclusion: The combination of multiple indicators can help reduce misdiagnosis of endometriosis.