协和医学杂志

2020, v.11(01) 68-72

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盆腔放线菌病
Pelvic Actinomycosis

李雷;马水清;
LI Lei;MA Shui-qing;Department of Gynecological Oncology,Peking Union Medical College,Chinese Academy of Medical Science &Peking Union Medical College;

摘要(Abstract):

盆腔放线菌病是罕见的生殖道感染性疾病,绝大部分女性患者携带宫内节育器。患者可能伴有发热、腹痛、分泌物增加、盆腔包块等并不特异的临床症状和表现,诊断高度依赖组织病理学和微生物学,微生物学目前在诊断中发挥了重要作用。药物治疗是基础和首选。手术切除感染组织用于严重的坏死组织、窦道形成或瘘形成。患者总体预后较好。
Pelvic actinomycosis is a rare infectious disease involving the female reproductive tract.Most of the patients carry an intrauterine device,having some non-specific clinical symptoms and manifestations such as fever,abdominal pain,discharge,and pelvic mass. The diagnosis of actinomycosis highly depends on discoveries of pathology and microbiology. Drug therapy is a basic choice of treatment.Surgeries were applied to severe necrosis and formation of sinus or fistula. Generally,patients with pelvic actinomycosis have a good prognosis.

关键词(KeyWords): 盆腔放线菌病;宫内节育器;硫磺颗粒;药物治疗
pelvic actinomycosis;intrauterine device;sulphur granules;drug therapy

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作者(Author): 李雷;马水清;
LI Lei;MA Shui-qing;Department of Gynecological Oncology,Peking Union Medical College,Chinese Academy of Medical Science &Peking Union Medical College;

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