浆细胞性乳腺炎保守治疗的临床研究  

Conservative treatment for patients with plasma cell mastitis

作　　者：吴恢升[1] 伍建春[1] 王先明[1] 

机构地区：[1]深圳大学第一附属医院甲状腺乳腺外科,广东518035

出　　处：《中华内分泌外科杂志》2014年第5期419-421,共3页Chinese Journal of Endocrine Surgery

摘　　要：目的 探讨浆细胞性乳腺炎的病因及治疗方法.方法 对2011年1月至2012年12月深圳大学第一附属医院乳腺外科门诊接诊的145例浆细胞性乳腺炎患者,予以手法疏通及乳管灌洗联合局部封闭治疗,并对疗效行总结分析.结果 145例浆细胞性乳腺炎经2-8周保守治疗,128例痊愈,17例效果不佳行手术治疗;随访12 - 36个月,128例保守治疗痊愈患者9例出现复发,复发率7.0％.结论 对浆细胞性乳腺炎可采取手法疏通及乳管灌洗联合局部封闭治疗,避免乳房全切术,降低复发率,取得了很好的疗效.Objective To investigate the etiology and novel treatment of plasma cell mastitis （PCM）.Methods 145 cases of PCM undergoing massage dredge,ductal lavage and local amalgesic injection from Jan.2011 to Dec.2012 were retrospectively analyzed.Results 145 cases of PCM underwent conservative treatment for 2 to 8 weeks,among whom 128 cases were cured and the other 17 cases underwent surgical treatment for poor outcome.Among the 128 cases undergoing conservative treatment,9 cases had relapse during the follow-up of 12 to 36 months.Conclusions The combined treatment of massage dredge,ductal lavage and partial closed treatment is effective for patients with PCM,and it can keep patients from having mastectomy and reduce the recurrent rate.

关 键 词：浆细胞性乳腺炎 保守治疗 乳管灌洗 

分 类 号：R655.8[医药卫生—外科学]