Hsu S P, Wang K G, Yang Y C, Lan C C
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1990 Nov;46(5):289-92.
We analysed the clinicopathologic aspects of 6 cases of pelvic actinomycosis associated with intrauterine contraceptive devices seen and treated at Mackay Memorial Hospital between 1987 and 1989. All of them had IUD for a period from 5 to 20 years. The incidence of pelvic actinomycosis among all our gynecological admission number during the same period was 0.08%. The most frequent presenting symptoms were lower abdominal pain and abnormal vaginal bleeding. An abdominal total hysterectomy with a bilateral or unilateral salpingoophorectomy was performed on all 6 cases due to a tubo-ovarian abscess or a pelvic mass. We do not find any relation between the presence of pelvic actinomycosis and the type of IUD. However, the study number was too small to make a definitive statement, but the length of time of IUD insertion is of greater significance.
我们分析了1987年至1989年间在马偕纪念医院诊治的6例与宫内节育器相关的盆腔放线菌病的临床病理特征。她们均使用宫内节育器5至20年。同期在我院所有妇科住院患者中，盆腔放线菌病的发病率为0.08%。最常见的症状是下腹痛和异常阴道出血。由于输卵管卵巢脓肿或盆腔肿块，对所有6例患者均实施了腹式全子宫切除术及双侧或单侧输卵管卵巢切除术。我们未发现盆腔放线菌病的存在与宫内节育器类型之间有任何关联。然而，研究病例数过少，无法得出确定性结论，但宫内节育器放置时间长短具有更重要意义。
