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盆腔炎与宫内节育器(IUD)的关系目前已受到广泛注意。近年来我院收治置IUD后发生盆腔脓肿3例,并结合文献予以分析讨论。例1.关××,50岁,下腹部不适伴消瘦2月余,于1982年9月6日入院。曾在外地妇检发现盆腔肿物,仍每月行经,置环已10年。妇检:盆腔可扪及包块约14×14×8cm,与子宫之间界线不清。包块左侧囊性感,表面结节,活动欠佳。入院次日腹痛加剧,T40.4℃,WBC25×10~9/L,出现急腹症症状,腹腔穿刺抽出脓液2ml。拟诊为卵巢肿瘤(卵巢癌待排除)继发腹膜炎。即行剖腹探查术,发现腹腔内脓液约1400ml,右输卵管及卵巢粘连形成一脓肿并有一破口。行右输卵管卵巢脓肿大部分切除、子宫次全切除及左附件、阑尾切除术。术后剖开子宫,见一金属环
The relationship between pelvic inflammatory disease and intrauterine device (IUD) has now received widespread attention. In recent years, our hospital received IUD pelvic abscess occurred in 3 cases, combined with the literature be analyzed and discussed. Example 1. Off × ×, 50 years old, lower abdominal discomfort with weight loss more than 2 months, on September 6, 1982 admission. Gynecological examination in the field found pelvic mass, still passing through the month, home ring has been 10 years. Women’s examination: pelvic palpable mass about 14 × 14 × 8cm, unclear boundaries between the uterus. Cystic bag on the left sexy, surface nodules, poor activity. The next day admission increased abdominal pain, T40.4 ℃, WBC25 × 10 ~ 9 / L, the symptoms of acute abdomen, abdominal drainage pus 2ml. To be diagnosed as ovarian cancer (ovarian cancer to be excluded) secondary peritonitis. That line laparotomy and found that about 1,400 ml intraperitoneal pus, the right tubal and ovarian adhesions to form a abscess and a breach. Right ovarian tubal abscess removal of the majority of subtotal hysterectomy and left attachment, appendectomy. Open the uterus after surgery, see a metal ring