小切口手术联合可调节负压引流在非哺乳期乳腺炎中的应用  

Application of small incision surgery with adjustable negative pressure drainage fornon-lactationalmastitis

作　　者：童怡兰[1] 朱占永[1] 余墨声[1] 赵月强[1] 姚晓莉[1] 

机构地区：[1]武汉大学人民医院整形外科,430060

出　　处：《临床外科杂志》2016年第3期186-188,共3页Journal of Clinical Surgery

摘　　要：目的探讨小切EI手术联合可调节负压治疗在非哺乳期乳腺炎治疗中的应用效果及临床价值。方法回顾性分析小切口手术联合可调节负压治疗20例非哺乳期乳腺炎患者的临床资料，总结治疗手段、疗效和复发情况。结果20例患者中左侧乳腺炎8例，右侧12例；年龄20～56岁，平均年龄（31．2±1．3）岁。根据患者病灶部位行小切口手术，并行可调节负压引流技术，创面一期愈合18例；通过负压引流联合换药直至愈合2例。均获得随访，1例复发，余19例患者对术后乳房外观及愈合后瘢痕相对满意。结论小切口手术联合可调节负压引流技术治疗非哺乳期乳腺炎安全性好，成功率高，恢复情况较佳。Objective To explore the treatment effect and clinical values of small incision sur- gery with adjustable negative pressure drainage for the non-lactational mastitis. Methods A retrospective analysis was made on the clinical data of 20 patients with non-lactation mastitis who received small inci- sion surgery with adjustable suction drainage. The treatment method, curative effect, and recurrence were summarized. Results In the 20 cases, there were left-side mastitis in 8 cases and right-side mastitis in 12 cases ;the patients were 20 ~ 56 （ 31.2 ＋ 1.3 ） years old. According to the actual lesions, the patients received small incision surgery with adjustable suction drainage. Eighteen patients were primary healing. The other two patients were healed after negative pressure drainage and dressing change. One recurrence was found in the follow-up period, and 19 patients were satisfied with the postoperative breast appearance. Conclusion The treatment of small incision surgery with adjustable negative pressure drainage in non- lactational mastitis is safe. The operation has a high success rate and its postoperative recovery is good.

关 键 词：小切口手术 可调节负压引流 非哺乳期乳腺炎 疗效 

分 类 号：R655.8[医药卫生—外科学]