感染是宫内节育器(IUD)最常见的并发症。近年来,有关IUD引起生殖器官上行性放线菌病的报导有所增加。在IUD以前的年代,曾报导的几个生殖道放线菌病病例,是从肠道或血循环传播,作者报导一例罕见病例,是IUD卵巢放线菌病传播到乙状结肠,引起肠梗阻。患者43岁,孕3产2。自1978年至1983年10月相继应用两个IUD。1983年5月,因右下腹痛、左侧盆腔包块入院,诊断为急性盆腔炎。应用头孢菌素后症状控制,出院诊断为乙状结肠憩室炎。二个月后结肠造影发现乙状结肠有12cm严重狭窄和明显龛影。乙状结肠镜检查,在进入18cm处见痉 Infection is the most common complication of IUDs. In recent years, there has been an increase in reports of IUD-causing upward actinomycosis in the genital organs. In the pre-IUD years, a few cases of actinomycosis were reported from the intestine or the bloodstream. A rare case was reported in which IUD ovarian actinomycosis spread to the sigmoid colon causing intestinal obstruction. The patient is 43 years old and has 3 pregnancies. Two IUDs were applied sequentially from 1978 to October 1983. May 1983, due to right lower abdominal pain, left pelvic mass admission, diagnosis of acute pelvic inflammatory disease. After the application of cephalosporin symptoms, discharge diagnosed as sigmoid diverticulosis. Two months later colonoscopy found sigmoid colon 12cm severe stenosis and significant niche. Sigmoidoscopy, see spasm into the 18cm Department