CAJ | 학술논문

目的探讨乳腺导管扩张症的诊断与治疗策略.方法回顾性分析2006年1月至2013年12月收治乳腺导管扩张症59例临床资料.结果 59例患者临床表现主要为乳腺炎性肿物46例,乳头溢液21例,乳头凹陷18例,乳房脓肿伴瘘管8例,均行手术治疗,依靠病理确诊.随访3个月至6年,无一例复发.结论手术是乳腺导管扩张症最主要的治疗方法.必须根据疾病的类型、部位及范围等选择适当的手术时机及术式.彻底切除病变,反复冲洗、清洁创面后立即做乳房矫形既能根治疾病,又尽可能地保留了乳房的外形,疗效满意.
목적 탐토유선도관확장증적진단여치료책략.방법 회고성분석2006년1월지2013년12월수치유선도관확장증59례림상자료.결과 59례환자림상표현주요위유선염성종물46례,유두일액21례,유두요함18례,유방농종반루관8례,균행수술치료,의고병리학진.수방3개월지6년,무일례복발.결론 수술시유선도관확장증최주요적치료방법.필수근거질병적류형、부위급범위등선택괄당적수술시궤급술식.철저절제병변,반복충세、청길창면후립즉주유방교형기능근치질병,우진가능지보류료유방적외형,료효만의.
Objective To explore the diagnosis and treatment strategy of mammary duct ectasia.Methods The clinical data of 59 cases with mammary duct ectasia from January 2006 to December 2013 were analyzed retrospectively.Results The main clinical manifestations of mammary duct ectasia were mammary inflammatory mass in 46 cases,nipple discharge in 21 cases,nipple retraction in 18 cases,mammary abscess and mammary fistula in 8 cases.Definite diagnosis of mammary duct ectasia depended on pathology.All the patients were treated by operation,followed up for 3 months to 6 years,and none of them had recurrence.Conclusions Operation is the main method of curing mammary duct ectasia.To select proper operation time and method according to disease type,lesion size,location and scope.Thorough resection,repeat rinsing,wound clearance and immediate breast shape can not only cure disease,but also reserve breast configuration as possible.Therapeutic effect is satisfactory.