清消法配合小切口病灶切除术治疗肉芽肿性小叶性乳腺炎的疗效观察  

Effect observation of clearing and elimination therapy combined with small incision lesion resection in treating granulomatous lobular mastitis

作　　者：张徐柳 热孜亚·萨吾尔 崔乐吟 刘胜[1] 孙霃平[1] ZHANG Xuliu;Reziya Sawuer;CUI Leyin;LIU Sheng;SUN Chenping(Department of Integrated Chinese Traditional and Western Medicine Mammary Gland,Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院中西医结合乳腺科,上海200032

出　　处：《重庆医学》2025年第3期617-619,624,共4页Chongqing Medical Journal

基　　金：上海市卫生健康委员会科研项目(202240160)。

摘　　要：目的探讨清消法配合小切口病灶切除术治疗肉芽肿性小叶性乳腺炎(GLM)的疗效。方法回顾性分析2019年1月至2023年6月于该院中西医结合乳腺科接受清消法配合小切口病灶切除术治疗且病理诊断为GLM的160例非哺乳期女性的病历资料,观察并总结其病程及治愈率、复发率。结果治疗总病程为(5.6±4.1)个月。治疗后3、6、12个月治愈率分别为34.4%(55/160)、58.1%(93/160)、93.8%(150/160)。术后随访满3、6、12个月复发率分别为3.1%(5/160)、3.8%(6/160)、5.6%(9/160)。结论清消法配合小切口病灶切除术治疗GLM疗效好。Objective To investigate the effect of Clearing and Elimination Therapy combined with small incision lesion resection in treating granulomatous lobular mastitis(GLM).Methods The medical record data of 160 female patients with pathologically diagnosed GLM receiving Clearing and Elimination Therapy combined with small incision lesion resection in the Department of Integrated Chinese Traditional and Western Medicine Mammary Gland of this hospital from January 2019 to June 2023 were analyzed retrospectively.The disease course,cure rate and recurrence rate were observed and summarized.Results The total treatment course was(5.6±4.1)months.The cure rates after 3,6,12 months of treatment were 34.4%(55/160),58.1%(93/160)and 93.8%(150/160)respectively.The recurrence rates after 3,6,12 months of follow-up were 3.1%(5/160),3.8%(6/160)and 5.6%(9/160)respectively.Conclusion Clearing and Elimination Therapy combined with small incision lesion resection in treating GLM has good efficacy.

关 键 词：肉芽肿性小叶性乳腺炎 中西医结合 清消法 小切口病灶切除术 疗效 

分 类 号：R655.8[医药卫生—外科学]