乳腺区段切除术对非哺乳期乳腺炎的治疗效果研究  

Research on Effect of Partial Mastcctomy in Treatment of Non-lactating Mastitis

作　　者：冯国丽[1] 罗迤 张淇[1] 

机构地区：[1]贵州省遵义医学院附属医院甲状腺乳腺外科,贵州遵义563000

出　　处：《中外医疗》2017年第24期104-106,共3页China & Foreign Medical Treatment

摘　　要：目的探讨不伴有急性感染症状非哺乳期乳腺炎患者临床以乳腺区段切除术治疗的有效性。方法该次研究对象方便选取该院门诊于2014年7月—2015年12月期间收治的25例不伴有急性感染症状非哺乳期乳腺炎患者,根据治疗方式的不同分为两组,其中保守组12例(三联抗分枝杆菌药物)、手术组13例(行区段切除术+三联抗分枝杆菌药物),观察治疗后患者非哺乳期乳腺炎治疗效果,对患者进行为期18个月随访,观察期间非哺乳期乳腺炎复发情况。结果 25例患者92.0%者发现肿块,有32.0%者存在乳头凹陷情况,仅8%患者血常规检查出现白细胞升高。保守组治疗率为83.3%,复发率为10.0%,手术组为100.0%、0.0%,手术组非哺乳期乳腺炎治疗效果优于保守组,且复发率低于保守组(P<0.05)。结论不伴有急性感染症状非哺乳期乳腺炎患者临床以乳腺区段切除术治疗后部分辅助口服三联抗分枝杆菌药物,治疗效果理想,近期复发率低。Objective To observe the effectiveness of partial mastcctomy in treatment of non-lactating mastitis without acute infection symptoms. Methods 25 cases of patients with non-lactating mastitis without acute infection symptoms admitted and treated in our hospital from July 2014 to December 2015 were convenient selected and divided into two groups according to the treatment method, the conservative group with 12 cases adopted the trigeminy anti-mycobacteria, while the operation group with 13 cases adopted the partial mastcctomy and trigeminy anti-mycobacteria, and the treatment effect of nonlactating mastitis of patients was observed and the patients were followed up for 18 months, and the recurrence of non-lactating mastitis was observed. Results Of 25 cases of patients, 92.0 percent of patients were with mass, and 32.0 percent of patients were with crater nipple, and 8 percent of patients were with leukocyte increase by the blood routine examination,and the treatment rate and recurrence rate in the conservative group and in the operation group were respectively 83.3%,10.0% and 100.0%, 0.0%, and the treatment effect of non-lactating mastitis in the operation group was better than that in the conservative group, and the recurrence rate was lower than that in the conservative group(P<0.05). Conclusion Some patients take trigeminy anti-mycobacteria drugs after the partial mastcctomy in treatment of non-lactating mastitis without acute infection symptoms, and the treatment effect is ideal, and the short-term recurrence rate is low.

关 键 词：非哺乳期乳腺炎 乳腺区段切除术 疗效 

分 类 号：R655[医药卫生—外科学]