浆细胞性乳腺炎术后复发率影响因素观察  

Observation of influential factors on postoperative recurrence of plasma cell mastitis

作　　者：严婕[1] 方力[1] 李燕[2] 何雄斌[1] 

机构地区：[1]郴州市第一人民医院乳甲外科,湖南郴州423000 [2]中南大学湘雅医院乳腺科,湖南长沙410008

出　　处：《湘南学院学报（医学版）》2014年第1期5-7,共3页Journal of Xiangnan University（Medical Sciences）

摘　　要：目的探讨手术联合使用抗菌药物治疗浆细胞性乳腺炎的有效性，寻求减少术后复发的方法。方法回顾性分析中南大学湘雅医院2006年1月～2010年12月经病理确诊，临床表现为局部红肿热痛的肿块型浆细胞性乳腺炎患者75例，按治疗方法不同分为治疗组51例（术前联合抗菌药物治疗）和对照组24例（单纯手术治疗），全部患者均采用手术治疗。随访两组患者在术后3月、6月、1年及总的复发率。治疗组随机分为3个亚组，术前用不同抗生素联合治疗，比较治疗效果。结果术后1年治疗组总的复发率为27．5％明显低于对照组的58．3％（P=0．010）。术后1年治疗组3个亚组的总的复发率比较无统计学意义（P〉0．05）。结论术前联合使用抗菌药物可降低术后局部复发率。Objective To evaluate the treatment effect of reducing postoperative recurrence by using antibiot- ics before surgery. Methods A retrospective review was conducted for 75 patients with plasma cell mastitis in Xiangya hospital of Central South University from January 2006 to December 2010, all patients were final diag- nosed pathologically and their clinical manifestation was local reddening, swelling, heat and pain. All of 75 cases was treated by operation and divided into 2 groups： the treatment group （51 cases） by using antibiotics before sur- gery and control group （25 cases） by single operation. Comparing the recurrence rate of two groups after 3 months, 6 months, a year and total, treatment group is further subdivided into 3 groups according to the different kinds of antibiotics. Results The rate of total recurrence in treatment group is 27.5 %, which is significantly lower than that of control group which is 58.3 % （ P 〈 0.05）. The recurrence rate of 3 subgroups has no significant difference between each other （ P 〉 0.05）. Conclusion Using antibiotics before surgery can reduce postoperative

关 键 词：浆细胞性乳腺炎 抗生素 复发率 

分 类 号：R655.8[医药卫生—外科学]