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本文报导一例罕见的宫内节育器并发严重的木质样盆腔蜂窝组织炎(Ligneous pelvic cellu-litis),伴有皮下窦道形成。肾盂积水和输尿管阻塞,并就其病因和处理作了讨论。患者,26岁,生育一胎,产后一年于1972年9月放置宫内节育器(Lippes loop)当时妇科检查正常。1974年1月起病人有进行性盆腔痛和月经过多。同年12月因严重盆腔感染住院治疗,妇科检查呈冰冻样骨盆,故取出节育器,并用止痛剂和静注半合成头孢子菌素(Kefzol),口服氨基苄青霉素2周。出院后2周,右臀部产生蜂窝组织炎,当
This article reports a rare intrauterine device associated with severe woody pelvic cellulitis (Ligneous pelvic cellulitis) with subcutaneous sinus formation. Hydronephrosis and ureteral obstruction, and discussed its etiology and treatment. The patient, 26 years old, had a childbirth and had a normal gynecological examination when the IUD (Lippes loop) was placed in September 1972 one year after delivery. January 1974 patients with progressive pelvic pain and menorrhagia. In December the same year hospitalized for severe pelvic infection, gynecological examination was frozen pelvis, so remove the IUD, and analgesics and intravenous semi-synthetic cefotamil (Kefzol), oral administration of ampicillin for 2 weeks. 2 weeks after discharge, cellulitis on the right hip