微创旋切加引流与开放切除病灶治疗肉芽肿性乳腺炎对照研究  

A control study between catheter drainage following ultrasound-guided vacuumassisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess phase

作　　者：张海燕[1] 万航宇 王品[2] 罗静 杨枫 徐基成[3] 胡会华[1] 冯金燕 温婧 ZHANG Haiyan;WAN Hangyu;WANG Pin;LUO Jing;YANG Feng;XU Jicheng;HU Huihua;FENG Jinyan;WEN Jing(Department of Breast and Thyroid Surgery,Sichuan Provincial Hospital for Women and Children,Chengdu 610045,P.R.China;Department of Breast and Thyroid Surgery,The Third People's Hospital of Chengdu City,Chengdu 610015,P.R.China;Department of Pathology,Sichuan Provincial Hospital for Women and Children,Chengdu 610045,P.R.China)

机构地区：[1]四川省妇幼保健院乳腺甲状腺外科,成都610045 [2]成都市第三人民医院乳腺甲状腺外科,成都610015 [3]四川省妇幼保健院病理科,成都610045

出　　处：《中国普外基础与临床杂志》2019年第1期67-71,共5页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的对照研究超声引导下微创旋切加置管引流与开放手术治疗脓肿期肉芽肿性乳腺炎的治疗效果。方法回顾性分析并选取2016年12月至2017年3月期间于成都市第三人民医院收治的脓肿期肉芽肿性乳腺炎患者9例以及2017年3月至2017年10月期间于四川省妇幼保健院收治的脓肿期肉芽肿性乳腺炎患者29例共计38例作为研究组,所有患者均采取彩超引导下的安珂微创旋切术加术后置管引流冲洗治疗。同时按照1∶1配对研究,选取2015年7月至2016年11月期间于成都市第三人民医院采取一期多孔硅胶管引流加二期病灶切除的38例脓肿期肉芽肿性乳腺炎患者作为对照组。对比2组患者在治疗时间、术后美容效果以及复发率方面的差异。结果研究组的治疗时间明显短于对照组(t=74.000,P<0.001),研究组的术后美容效果优良率明显高于对照组(χ~2=7.280,P=0.007),2组患者术后1年复发率比较差异无统计学意义(χ~2=0.559,P=0.455)。结论微创旋切加置管引流冲洗治疗脓肿期肉芽肿性乳腺炎在不增加复发率的基础上可明显缩短治疗时间并能收到良好的美容效果。Objective To compare curative effect of catheter drainage following ultrasound-guided vacuumassisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess stage. Methods A total of 38 patients with granulomatous mastitis in abscess phase from December 2016 to March 2017 in the Third People's Hospital of Chengdu City and from March 2017 to October 2017 in the Sichuan Provincial Hospital for Women and Children were included as a study group, who were received the catheter drainage following ultrasoundguided vacuum-assisted rotary excision. A total of 38 similar cases from July 2015 to November 2016 in the Third People's Hospital of Chengdu City were collected as a control group according to the 1∶1 matching principle, who were received the traditional excision. The therapeutic period, postoperative appearance of breast, and recurrence rate were compared between these two groups. Results Compared with the control group, the therapeutic period was significantly shorter(t=74.000, P<0.001), the postoperative appearance of breast was significantly better(χ^2=7.280,P=0.007) in the study group, while the recurrence rate had no significant difference(χ^2=0.559, P=0.455) between these two groups. Conclusions Catheter drainage following ultrasound-guided vacuum-assisted rotary excision shows advantages in postoperative therapeutic period and appearance of breast and doesn't increase relapse rate as compared with traditional surgery for patients with granulomatous mastitis in abscess stage.

关 键 词：肉芽肿性乳腺炎 脓肿期 微创旋切 引流 

分 类 号：R655.8[医药卫生—外科学]