弥漫型乳腺结核保留乳房手术治疗20例  

Breast-conserving surgery in the treatment of 20 cases with diffuse breast tuberculosis

作　　者：肖泽林[1] 刘家杰[1] 高建齐[1] 

机构地区：[1]广州市胸科医院胸外科一科,广州510095

出　　处：《岭南现代临床外科》2013年第3期224-226,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探索弥漫型乳腺结核保留乳房手术的临床疗效。方法总结分析保乳手术治疗弥漫型乳腺结核20例。结果 7例患者手术切口Ⅰ期愈合;其中2例术后局部伤口愈合欠佳,伤口清创缝合后愈合,13例经住院或门诊伤口换药均愈合,皮肤无缺血坏死,患乳外形良好,随访12个月,无复发。结论保乳手术联合规则抗结核是治疗弥漫型乳腺结核合并脓肿形成、破溃、窦道形成的有效途径,能满足患者美观需求,疗效确切,提高患者生活质量。Objective To explore the clinical efficacy of breast-conserving surgery in treating diffuse tuberculosis of the breast. Methods A retrospective data was dnalyzed in the prognosis of conserving surgery in 20 cases with breast tuberculosis diffuse. Results Seven cases healed by first intention,.2 cases with poor wound healing had healed after debridement ,.and.11 cases healed after wound dressing in hospitalization or outpatient. All the cases recovered with no skin ischemic necrosis or recurrence in the following 12 months. Conclusion Breast-conserving surgery combined with regular anti-tuberculosis treatment is an effective way to treat the diffuse tuberculosis of the breast with abscess , burst, sinus, which can meet the aesthetic needs of the patients and improve the quality of life.

关 键 词：乳腺结核 保留乳房手术 

分 类 号：R655.8[医药卫生—外科学]