盆腔放线菌病  

Pelvic Actinomycosis

作　　者：李雷[1] 马水清[1] LI Lei;MA Shui-qing(Department of Gynecological Oncology,Peking Union Medical College,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院妇科肿瘤中心

出　　处：《协和医学杂志》2020年第1期68-72,共5页Medical Journal of Peking Union Medical College Hospital

摘　　要：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：盆腔放线菌病 宫内节育器 硫磺颗粒 药物治疗 

分 类 号：R379.1[医药卫生—病原生物学]