30例乳管瘘临床诊治分析  

30 Cases of Neonatal Clinical Diagnosis and Treatment of Fistula

作　　者：关志学 王光源 

机构地区：[1]黑龙江省泰来农场职工医院,黑龙江泰来162414 [2]吉林省大安市第四人民医院,吉林大安131300

出　　处：《中国现代医生》2009年第2期24-25,共2页China Modern Doctor

摘　　要：目的探讨乳管瘘的诊断和治疗方法,回顾分析了30例乳管瘘的病因、体征、病理、依据和该病的命名。方法用探针找到窦道后切开窦道相连的扩张乳导管,切开达乳头开口,彻底搔刮,去除炎性组织并充分引流,术后换药,通过新生肉芽生长,使乳管瘘痊愈。结果经2～5周换药,所有伤口均愈合,个别病例复发,再用探针寻找受累乳管,切开后换药,即治愈。结论本病结合病史体征,易于诊断。本组30例均在门诊治疗,既方便患者又经济,疗效好,简便可行,疗效显著,治愈率高,值得推广。Objective To explore the diagnosis and treatment of duct fistula,retrospective analysed the causes,signs,pathological considerations and name of the disease of 30 cases. Methods Found sinus with a probe,then an incision was made into outstretched milk duct connected with the sinus, scrape thoroughly to remove inflammatory and adequate drainage,then dressing was changed,the duct fistula healed by the growth of new granulation. Results All wounds are healed by dressing change for 2 to 5 weeks. Some cases recurred were cured by incision and dressing change after found latex dust by probe. Conclusion Combined with history of the disease signs, lacteal fistula is easy to diagnosis. 30 patients were all treated in outpatient service. The methods is convenience, economical, good efficacy,simple,obvious effect,with a high cure rate,it is worth promoting.

关 键 词：乳管 瘘 炎性包块 脓肿 探针 

分 类 号：R655.8[医药卫生—外科学]