乳腺增生性病变21例患者与临床治疗体会  

21 patients with mammary gland hyperplastic lesions and clinical experience

作　　者：文华 

机构地区：[1]海南省昌江县中西医结合医院外科,海南三亚572700

出　　处：《临床医药文献电子杂志》2014年第15期2008-2008,2011,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的：探讨乳腺增生性病变临床症状及治疗效果。方法选取我院收治的21例乳腺增生性病变患者作为研究对象，观察增生性病变的临床特征，回顾分析其病理类型，对有手术指证的19例分别选用区段切除、单纯乳房切除、皮下乳腺切除等术式，并开展术后随访。结果乳腺腺病11例，占52.4%，乳头状瘤病6例，占28.6%，不典型增生（癌前病变）3例，占14.3%，TO期乳腺癌1例，占4.8%。行乳腺区段切除16例，皮下乳腺切除3例，单纯乳房切除2例。术后随访4个月～2年，1例4年后发生胃癌，治疗2年3个月死亡；1例发现新的乳腺增生块，其余均无复发、转移。结论乳腺增生性病变患者如果存在病变严重、可疑癌变、药物治疗无效等情况应及早行切除手术，并且依据患者病情选择合适手术方式，从而减少对患者损伤，提高治愈率。Objective to explore the breast hyperplastic lesions of clinical symptoms and therapeutic effect.Methods select our hospital of 21 patients with mammary gland hyperplastic lesions as the research object, respectively for 19 cases with operation against chosen segment resection, and postoperative follow-up.Results in 11 cases, mammary gland disease 52.4%, 6 cases of papilloma disease, 28.6%, atypical hyperplasia 3 cases,14.3%, TO period 1 case of breast cancer,4.8%. 16 cases of mammary gland segment resection, subcutaneous mastectomy 3 cases,simple mastectomy in 2 cases. Postoperative follow-up of 4 months to 2 years, 1 case after 4 years, developing gastric cancer treatment 2 years 3 months; 1 case found new hyperplasia of mammary glands block, and the rest are no recurrence and metastasis.Conclusion mammary gland hyperplastic lesions if there is a lesion in patients with severe,and choose the right operation method based on patient condition, and thus to minimize damage to patients, improve the cure rate.

关 键 词：乳腺增生性病变 切除手术 临床治疗 

分 类 号：R713[医药卫生—妇产科学]