宫内节育器致纤维包裹结节伴大量宫腔积脓1例报道  

Fibrous encapsulated nodule with massive pyometra caused by intrauterine device:a case report

作　　者：宋旭敏 单莺 蒋翠 李焱燚 耿源源 陈丽 Song Xumin;Shan Ying;Jiang Cui;Li Yanyi;Geng Yuanyuan;Chen Li(Department of Obstetrics and Gynecology,Shanghai Pudong Hospital,Shanghai 2013992,China;Department of Pathology,Shanghai Pudong Hospital,Shanghai 201399,China)

机构地区：[1]上海市浦东医院妇产科,上海201399 [2]上海市浦东医院病理科,上海201399

出　　处：《中华生殖与避孕杂志》2022年第9期952-955,共4页Chinese Journal of Reproduction and Contraception

基　　金：上海市浦东医院院级人才培养“浦菁人才”资助(PJ201902)。

摘　　要：目的探讨宫内节育器致纤维包裹结节伴大量宫腔积脓的诊断、治疗及预防。方法对1例宫内节育器致纤维包裹结节伴大量宫腔积脓患者的诊治过程进行分析报道,并复习相关文献,分析病因及诊疗措施。结果患者行全子宫+双附件切除术,术后病理提示子宫腔局部内膜组织缺失,见大量急慢性炎细胞浸润、淋巴滤泡形成伴炎性渗出及坏死,包裹节育器结节为纤维素性坏死物。患者术后恢复良好。结论宫内节育器致纤维包裹结节伴大量宫腔积脓较为罕见,月经停止后6~12个月内建议取出宫内节育器以预防该疾病发生。Objective To explore the diagnosis,treatment and prevention of fibrous encapsulated nodules with massive pyometra caused by intrauterine device(IUD).Methods The diagnosis and treatment of a patient with fibrous encapsulated nodule and massive pyometra caused by IUD is reported and analyzed.Results The patient underwent panhysterectomy+bilateral adnexectomy.Postoperative pathology showed local endometrial tissue loss in the uterine cavity,a large number of acute and chronic inflammatory cell infiltration,inflammatory exudation and necrosis of lymphatic follicles.The encapsulated contraceptive nodule was fibrinous necrosis with an IUD in it.The patient recovered well after surgery.Conclusion Fibrous encapsulated nodules with massive pyometra caused by IUD are rare,and removal of IUD within 6-12 months after cessation of menstruation is suggested to prevent the occurrence of this disease.

关 键 词：宫内节育器 纤维包裹结节 宫腔积脓 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]