盆腔放线菌病——附5例报告

Pelvic actinomycosis:a report of 5 cases

目的探讨盆腔放线菌病的临床表现、诊断及治疗。方法回顾分析5例经临床和病理确诊的病例资料。结果5例均为女性,放置节育器的平均时间7.5年,3例腹部触及包块并压痛,4例血白细胞总数增高,影像学检查5例术前均误诊为盆腔脏器恶性肿瘤。结论盆腔内放置节育器是盆腔放线菌的主要病因,确诊主要依靠术后病理,早期大剂量抗生素应用有效。

ObjectiveTo study the clinical manifestations, diagnosis and treatment of pelvicactinomycosis.MethodsThe data of 5 cases were analyzed retrospectively, which had been confirmed by clinic andpathology.ResultsAll 5 patients were female, the contraceptive device had been placed in whose pelvic cavity for 7.5years. There were abdominal mass and tenderness in 3 cases. The white blood cell count was increased in 4 cases. 5 cases weremisdiagnosed preoperatively as pelvic malignant tumor by imaging examination.ConclusionsPelvic actinomycosis is dueto contraceptive device placed in pelvic cavity. The comfirmed diagnosis depends on postoperative pathological examination.It is very effective to use plenty of antibiotic early.