Mammotome微创旋切术加置管冲洗引流治疗慢性乳腺炎22例  

Clinical controlled study of vaccum-assisted mammotome biopsy plus douching and drainage for the treatment of chronic mastitis

作　　者：周颉[1] 罗建国[1] 丘禹洪[1] 郑爱秋[1] 张文夏[1] 王恩礼[1] 

机构地区：[1]南方医科大学附属深圳妇幼保健院乳腺科,广东省深圳市518000

出　　处：《实用医学杂志》2013年第1期53-55,共3页The Journal of Practical Medicine

基　　金：吴阶平医学基金会乳腺癌早诊早治规范化培训项目(编号:WKJ2005-3-006)

摘　　要：目的:探讨应用Mammotome微创旋切术加置管冲洗引流治疗慢性乳腺炎的优化方法和操作技巧。方法:超声引导下应用Mammotome微创真空辅助活检系统切除肿块型与脓肿型慢性乳腺炎的局部病灶,辅以残腔冲洗及置管引流。与同期传统方法治疗者对比,观察其治疗上的优势。结果:Mammotome组22例一次治愈率为95.5%(21/22),仅1例于术后5d内冲洗换药持续可见脓性分泌物,为术后引流不畅所致,扩大引流口后22d痊愈;平均治愈时间(9.36±2.22)d;复发率为4.5%(1/22)。对比传统组25例一次治愈率68.0%(17/25,χ2=4.062,P<0.05)、平均治愈时间[(30.28±11.51)d,t′=-8.899,P<0.01]及局部复发率32.0%(8/25,χ2=4.062,P<0.05),差异均具有明显统计学意义。结论:Mammotome微创旋切术可在超声引导下将慢性乳腺炎局部病灶行大范围或完全切除,辅以置管冲洗引流,可明显缩短慢性乳腺炎的治愈时间以及改善治疗效果。Objective To study the optimization methods and operation skills in applying the vaccum- assisted mammotome biopsy plus douching and drainage to treat chronic mastitis. Methods Vaccum-assisted mammotome biopsy system was used to excise the localized lesions of the lump or abscess of chronic mastitis by ultrasound-guided, supplemented by douching and drainage. The therapeutic advantage of the optimization methods were analyzed by comparing with the traditional methods. Results The cure rate of the mamthotome-treated group was 95.5% （21/22）, only one case had purulent secretion at five days after operation, resulting from inadequately drainage. This patient was healed after 22 days by expanding drainage incision. The average healing time of the mammotome-treated group was（9.36 ± 2.22）d; the recurrence rate was 4.5% （1/22）. The cure rate of the traditional group （25 cases） was only 68.0% （17/25）, significantly lower than that of the mammotome-treated group （X2 = 4.062,P 〈 0.05）. The average healing time and the recurrence rate of the traditional group were （30.28 _＋ 11.51 ） d and 32.0%, respecitively, significantly different （t＇= -8.899 ,P 〈 0.01 for the average healing time; X2 = 4.062, P 〈 0.05 for the recuurence rate） from those of the the mammotome-treated group. Conclusion Vaccum-assisted mammotome biopsy system can completely remove the lump and abscess of chronic mastitis by uhrasound-guided, supplemented by douching and drainage, which effectively reduces the cure time and improve the therapeutic effect.

关 键 词：乳腺炎 MAMMOTOME微创旋切术 冲洗 引流 

分 类 号：R655.8[医药卫生—外科学]