乳腺区切除术结合腺体成型及持续负压灌流技术治疗浆细胞性乳腺炎合并乳头内陷的疗效及安全性分析  

Efficacy and Safety of Regional Mastectomy Combined with Gland Shaping and Continuous Negative Pressure Perfusion in the Treatment of Plasma Cell Mastitis with Nipple Retraction

作　　者：许安文 谢权[1] 李婷[1] 耿金秀[1] XU Anwen;XIE Quan;LI Ting(Haikou People's Hospital,Hainan Haikou 570208,China)

机构地区：[1]海南省海口市人民医院普外科,海南海口570208

出　　处：《河北医学》2021年第7期1157-1161,共5页Hebei Medicine

基　　金：海南省医药卫生科研项目,(编号16A200093)。

摘　　要：目的:分析乳腺区切除术结合腺体成型及持续负压灌流技术治疗浆细胞性乳腺炎(PCM)合并乳头内陷的疗效及安全性。方法:回顾性分析我院112例PCM合并乳头内陷患者临床资料,其中行乳腺区域切除+腺体成型术治疗者54例(对照组),行乳腺区域切除+腺体成型术联合持续负压灌流治疗者58例(观察组)。记录两组临床疗效、术后恢复及术后并发症发生情况,并比较两组术后乳房疼痛情况、乳房美容效果差异。结果:两组术后均得到痊愈,观察组换药次数、切口愈合时间、住院时间、痊愈所需时间及术后并发症总发生率均低于对照组(P<0.05),且观察组术后乳房疼痛分级小于对照组(P<0.05)。两组术后乳房美容效果比较,差异无统计学意义(P>0.05)。结论:乳腺区域切除+腺体成型术联合持续负压灌流治疗PCM疗效好、并发症少,在促进患者术后康复方面具有积极作用。Objective:To analyze the efficacy and safety of regional mastectomy combined with gland shaping and continuous negative pressure perfusion in the treatment of plasma cell mastitis(PCM)with nipple retraction.Methods:The clinical data of 112 PCM patients with nipple retraction in our hospital were retrospectively analyzed.Among them,54 patients underwent regional mastectomy+gland shaping(control group),and 58 patients received regional mastectomy+gland shaping combined with continuous negative pressure perfusion(observation group).The clinical efficacy,postoperative recovery and occurrence of postoperative complications were recorded in the two groups,and the differences in postoperative breast pain and breast cosmetic effect were compared between the two groups.Results:Both groups were cured after operation.The times of dressing change,wound healing time,hospitalization time,healing time and the total incidence of postoperative complications in the observation group were lower than those in the control group(P<0.05),and the postoperative breast pain grade in the observation group was lower than that in the control group(P<0.05).There was no significant difference between the two groups(P>0.05).Conclusion:Regional mastectomy+gland shaping combined with continuous negative pressure perfusion has a good efficacy and few complications in the treatment of PCM,and it has a positive effect in promoting the postoperative rehabilitation of patients.

关 键 词：浆细胞性乳腺炎 乳头内陷 乳腺区切除术 腺体成型术 持续负压灌流 

分 类 号：R655.8[医药卫生—外科学]