非哺乳期乳腺炎棒状杆菌感染的诊治进展  

Progress in Diagnosis and Treatment of Corynebacterium Infection in Non-Puerperal Mastitis

作　　者：张倩 杜嘉 蔺光帅 李建辉 ZHANG Qian;DU Jia;LIN Guangshuai;LI Jianhui(Department of Oncology,Shaanxi Provincial People′s Hospital Affiliated to Xi′an Medical University,Xi′an 710068,China)

机构地区：[1]西安医学院附属陕西省人民医院肿瘤外科,西安710068

出　　处：《医学综述》2021年第24期4888-4892,共5页Medical Recapitulate

摘　　要：非哺乳期乳腺炎(NPM)是一种发生于女性非哺乳期且以突发性乳腺肿块、脓肿形成、继发窦道以及溃疡等为特征的慢性乳腺炎症。近年来NPM的发病率逐年升高,但其具体发病机制目前尚未明确。棒状杆菌感染可能是导致NPM发生的重要病原体,但目前对于NPM的细菌检测仍局限于根据培养特性、生化反应进行鉴定,缺乏系统性研究。目前,病理检查仍是诊断及鉴别诊断NPM的金标准,临床NPM的治疗主要采用以手术治疗为主的综合治疗方式。未来深入研究棒状杆菌感染与NPM的关系可以为临床诊治NPM提供新思路。Non-puerperal mastitis(NPM)is a type of chronic breast inflammation that occurs in women′s non-lactating period and is characterized by sudden breast masses,abscess formation,secondary sinuses,and ulcers.In recent years,the incidence of NPM has been increasing year by year,but its specific pathogenesis is not yet clear.Corynebacterium infection may be an important pathogen leading to the occurrence of NPM,but the current bacterial detection of NPM is still limited to identification based on culture characteristics and biochemical reactions,and the systematic research is lacking.At present,pathological examination is the gold standard for the diagnosis and differential diagnosis of NPM,and the clinical treatment of NPM mainly adopts a comprehensive treatment method based on surgical treatment.In-depth study of the relationship between Corynebacterium infection and NPM in the future can provide new ideas for the clinical diagnosis and treatment of NPM.

关 键 词：非哺乳期乳腺炎 棒状杆菌 乳腺导管扩张症 导管周围乳腺炎 

分 类 号：R737.9[医药卫生—肿瘤]