切开肿块挂线引流治疗浆细胞性乳腺炎的应用效果分析  

Analysis of the Application Effect of Incision Mass Hanging Line Drainage in the Treatment of Plasma Cell Mastitis

作　　者：蒋建春 袁文 叶晖 JIANG Jianchun;YUAN Wen;YE Hui(Department of Breast,Linyi Central Hospital,Linyi,Shandong,276000,China;Department of Pediatrics,Linyi)

机构地区：[1]临沂市中心医院乳腺科,山东临沂276000 [2]临沂市中心医院儿科,山东临沂276000

出　　处：《中外医疗》2024年第34期57-60,共4页China & Foreign Medical Treatment

摘　　要：目的评价浆细胞性乳腺炎患者应用切开肿块挂线引流治疗的有效性。方法回顾性选取2021年1月—2024年1月临沂市中心医院收治的80例浆细胞性乳腺炎患者的临床资料,根据不同治疗方式分为对照组与研究组,各40例。对照组实行乳腺腺叶区段切除术,研究组给予切开肿块挂线引流治疗,比较两组患者的乳房美观优良率、围手术期指标、术后6个月复发率及疼痛情况。结果研究组乳房美观优良率为90.00%(36/40),高于对照组的70.00%(28/40),差异有统计学意义(χ^(2)=5.000,P=0.025)。研究组手术时间、切口愈合时间和住院时间均短于对照组,术中出血量低于对照组,差异均有统计学意义(P均<0.05)。研究组术后6个月疾病复发率低于对照组,差异有统计学意义(P<0.05)。术后4 h、12 h、1 d、2 d,研究组疼痛评分均低于对照组,差异均有统计学意义(P均<0.05)。结论浆细胞性乳腺炎患者应用切开肿块挂线引流治疗效果好,有利于提高美观度,缓解疼痛感。Objective To evaluate the effectiveness of incision and mass hanging line drainage in patients with plasma cell mastitis.Methods The clinical data of 80 patients with plasma cell mastitis admitted to Linyi Central Hospital from January 2021 to January 2024 were retrospectively selected.According to different treatment methods,they were divided into control group and study group,with 40 cases in each group.The control group was treated with segmental resection of mammary gland,and the study group was treated with incision mass hanging line drainage.The excellent and good rate of breast aesthetics,perioperative indexes,recurrence rate at 6 months after operation and pain were compared between the two groups.Results The excellent and good rate of breast aesthetics in the study group was 90.00%(36/40),which was higher than 70.00%(28/40)in the control group,and the difference was statistically sig-nificant(χ^(2)=5.000,P=0.025).The operation time,incision healing time and hospitalization time of the study group were shorter than those of the control group,and the intraoperative blood loss was lower than that of the control group,the differences were statistically significant(all P<0.05).The recurrence rate of the study group was lower than that of the control group at 6 months after operation,and the difference was statistically significant(P<0.05).At 4 h,12 h,1 d and 2 d after operation,the pain score of the study group was lower than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion The application of incision mass hanging line drainage in pa-tients with plasma cell mastitis has a good effect,which is conducive to improving aesthetics and relieving pain.

关 键 词：浆细胞性乳腺炎 切开肿块挂线引流治疗 乳房美观度 疾病复发率 

分 类 号：R655.8[医药卫生—外科学]