中文摘要：

目的：探讨高效抗逆转录病毒治疗（HAART）艾滋病合并急性盆腔炎（AIDS＋APID）患者临床疗效,为规范AIDS＋APID治疗提供理论依据。方法：抽取25例排除其他感染的AIDS＋APID患者,用HAART治疗3个月,于治疗前后观察患者症状、体征、宫颈管分泌物镜检、CD4^＋T细胞计数和HIV裁量变化,观察患者是否出现ARV药物的严重不良反应：如骨髓抑制、胰腺炎、重症皮疹、高脂血症、严重的肝功能异常等。结果：治疗后患者腹胀、下腹部压痛、肌紧张,性交疼痛等症状消退;异常的阴道分泌物消退;子宫附件区压痛、宫颈举痛或摇摆痛体征消退;输卵管壁增厚、管腔积液、盆腔积液或输卵管卵巢脓肿等消退;阴道杆菌、球菌、上皮细胞和脓（白）细胞等阴道清洁度观察指标明显好转（P〈0.01）;CD4^＋T细胞计数由低转高（χ^2=43.600,P〈0.01）,HIV裁量由高转低（χ^2=40.400,P〈0.01）,没有出现ARV药物的严重不良反应。结论：对于AIDS＋APID患者,临床上如果能完全排除合并其他感染,用HAART治疗可以消除APID的临床症状和体征,没有出现ARV药物的严重不良反应,因观察例数比较少,仍需重复验证。

英文摘要：

OBJECTIVE To investigate clinical efficacy of highly active antiretroviral therapy（HAART）against HIV/AIDS complicated with acute pelvic inflammatory disease（AIDS＋APID）,provide a theoretical basis for standardizing AIDS＋APID therapy.METHODS Twenty five patients only with AIDS＋APID were randomly selected,HAART therapy was administered for 3 months.The patients were observed for symptoms,signs,cervix secretion microscopy,changes of CD4^＋T cell count and HIV discretion before and after treatment.RESULTS After treatment,abdominal distention,abdominal tenderness,muscle tension,sexual intercourse pain and other symptoms subsided;abnormal vaginal discharge subsided;uterine accessories tenderness,cervical pain or swing pain subsided;fallopian tube wall thickening,tube cavity effusion,pelvic cavity fluid or oviduct ovarian abscess faded;vaginal coli,staphylococcus aureus,epithelial cells and pus（white）,such as vaginal cleanness observation index alleviated significantly（P〈0.01）;CD4^＋T cell count changed from low to high levels（χ^2=43.600,P〈0.01）,HIV load from high to low levels（χ^2=40.400,P〈0.01）.CONCLUSION For AIDS＋APID patients with other infection completely excluded,HAART can eliminate APID clinical signs and symptoms.