浆细胞性乳腺炎治疗时机选择的临床分析  

Clinical study on the selection of treatment time in plasma cell mastitis

作　　者：孔令伟[1] 马祥君[1] 高雅军[1] 汪洁[1] 何湘萍[1] 高海凤[1] 谢祥[1] 

机构地区：[1]北京市海淀区妇幼保健院乳腺病防治中心,100080

出　　处：《河北医药》2009年第23期3206-3207,共2页Hebei Medical Journal

摘　　要：目的探讨浆细胞性乳腺炎治疗时机的选择、效果和可行性。方法浆细胞性乳腺炎患者95例,根据不同阶段选用药物治疗和手术治疗。结果急性肿块期治愈率92.2%(47/51),缓解率7.8%(4/51),总有效率100%,复发率9.8%(5/51)。慢性肿块期治愈率81.3%(13/16),复发率18.7%(3/16)。脓肿期治愈率:71.4%(15/21),瘘管期治愈率71.4%(5/7),结论浆细胞性乳腺炎急性炎症期是药物治疗的最佳时机,肿块静止期是手术治疗的最佳切入点。彩色多普勒超声引导下脓肿穿刺和脓腔置管冲洗引流可有效的保持乳房的外形。Objective To investigate the timing, the efficacy and feasibility in the treatment of plasma cell mastitis. Methods A total of 95 patients with plasma cell mastitis were treated by drug or surgical treatments. Results The cure rate was 92.2% （47/51） in plasma cell mastitis at acute lump stage, and remission rate was 7.8% （4/51 ）, the total effective rate was 100% , and recurrence rate was 9.8 % （5/51 ）. In ehronieity lump stage, The cure rate was 81.3% （13/16） , recurrence rate was 18.7% （3/16）. The cure rate was 71.4% （15/21） in the abscess stage. The cure rate was 71.4% （ 5/7 ） in the fistula stage. Conclusion Drug treatment is a optimization chance for plasma cell mastitis at acute lump stage, in stationary, phase of lump, surgical treatment is the best method. In the abscess stage, which can keep the breast shape by aspiration under ultrasound guidance and indewelling catheter drainage.

关 键 词：浆细胞性乳腺炎 药物治疗 手术治疗 

分 类 号：R655.8[医药卫生—外科学]