乳腺导管扩张症不同分期的治疗研究进展  

Research progress on the treatment of mammary duct ectasia at different stages

作　　者：程洁 马建赢 余国政[2] CHENG Jie;MA Jianying;YU Guozheng(Medical School of Wuhan University of Science and Technology,Wuhan 430000,China;Department of Breast and Thyroid Surgery,Huangshi Central Hospital,Huangshi 435000,Hubei Province,China)

机构地区：[1]武汉科技大学医学院,武汉430000 [2]黄石市中心医院乳腺甲状腺外科,湖北黄石435000

出　　处：《医学新知》2025年第2期232-237,共6页New Medicine

基　　金：湖北省自然科学基金创新发展联合基金项目(2022CFD065);湖北省中央引导地方科技发展专项(2022BCE027);吴阶平医学基金会资助项目(320.6750.2024-21-21)。

摘　　要：乳腺导管扩张症(mammary duct ectasia,MDE)是一种以乳腺导管扩张为基础,伴随乳腺导管周围浆细胞聚集的非细菌性炎症疾病。其病程较长、病变复杂,多见于非哺乳期的育龄女性。目前该疾病的病因机制尚不明确,治疗较为困难且易复发,若治疗不及时可发展成瘘管,致患者病情加重难愈,影响患者预后。因此,本文旨在对近年来MDE的诊断、四种分期的治疗及并发症进行概述,以期为临床选择合适的治疗方案提供参考。Mammary duct ectasia(MDE)is a non-bacterial inflammatory disease based on mammary duct dilation,accompanied by the accumulation of plasma cells around the mammary duct.It has a long course of disease,complicated lesions,and is more common in women of childbearing age who are not breastfeeding.At present,the pathogenesis of this disease are still unclear,and the treatment is difficult and prone to recurrence.If not treated in time,it may develop into fistula,which will aggravate the condition and affect the prognosis of patients.This article aims to provide an overview of the diagnosis,four stages of treatment and complications of MDE in recent years,to provide a reference for clinical selection of appropriate treatment options.

关 键 词：乳腺导管扩张症 浆细胞性乳腺炎 溢液期 肿块期 脓肿期 瘘管期 

分 类 号：R737.9[医药卫生—肿瘤]