早期浆细胞性乳腺炎超声引导穿刺抽液与区段切除的效果对比  

The comparative analysis of paracentesis and segment resection therapy in patients with early plasma cell mastitis

作　　者：贾巍[1] 张红真[1] 王文娟[1] 赵光远[1] 姜玉荣[1] YIN Changheng 

机构地区：[1]哈励逊国际和平医院,河北省衡水市053000

出　　处：《实用医学杂志》2017年第22期3749-3751,共3页The Journal of Practical Medicine

基　　金：衡水市科技局科研基金项目(编号:14021A)

摘　　要：目的探讨早期浆细胞性乳腺炎超声引导穿刺抽液与区段切除肿块的复发性及治疗效果满意度,寻求更加有效、经济的治疗方法。方法选取哈励逊国际和平医院2013年6月至2016年12月收治的89例超声引导穿刺抽液(治疗组)和101例区段手术切除(对照组)的浆细胞性乳腺炎患者,将两组患者复发率及治疗满意度进行对照分析。结果 (1)超声引导穿刺抽液和区段切除肿块的总复发率为29.21%和21.78%,治疗组的总复发率高于对照组,差异无统计学意义(χ~2=5.437;P=0.285)。(2)疼痛程度和治疗时间在两组治疗效果满意度上的差异均无统计学意义(P=0.323;P=0.102),外表美观在治疗组中满意度优于对照组且差异有统计学意义(P=0.01)。结论穿刺抽液治疗既具有区段切除的治疗效果,且有更好的患者满意度。穿刺抽液作为更有效、更经济的诊治方法,对治疗早期浆细胞性乳腺炎具有重要意义。Objective To investigate the recurrence and satisfaction of paracentesis and segment resection on patients with early plasma cell mastitis , and to choose a more effective and cost-effective treatment. Methods Eighty-nine patients with early plasma cell mastitis received paracentesis in the treatment group and 101 cases received segment resection therapy in the comparison group. The recurrence and satisfaction of patients with early plasma cell mastitis in the two groups were compared. Results （ 1 ） The recurrence rates of patients with early plasma cell mastitis received paracentesis or segment resection were 29.21% and 21.78%, without significant difference （X2 = 5.437; P = 0.285 ）. （2） No significant differences in pain degree and time of therapy were observed （P = 0.323 ; P = 0.102）, but obvious difference in aesthetic measure was found between two groups （P = 0.01 ）. Conclusion Ultrasound guided puncture is used to treat patients with early plasma cell mastitis resulted in the therapeutic effect of segmental excision and better patient satisfaction, which has important significance and clinical promotion value for early plasma cell mastitis treatment.

关 键 词：浆细胞性乳腺炎 超声 穿刺抽液 区段切除 

分 类 号：R655.8[医药卫生—外科学]