局解手术学杂志
跼解手術學雜誌
국해수술학잡지
JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY
2015年
1期
58-59,60
,共3页
林建山%郑剑忠%黄冬凌%梁郑斌
林建山%鄭劍忠%黃鼕凌%樑鄭斌
림건산%정검충%황동릉%량정빈
肉芽肿性小叶性乳腺炎%中西医结合%肿物单纯切除%扩大切除
肉芽腫性小葉性乳腺炎%中西醫結閤%腫物單純切除%擴大切除
육아종성소협성유선염%중서의결합%종물단순절제%확대절제
granulomatous lobular mastitis%combined treatment of traditional Chinese and western medicine%simple excision%expanded resection
目的：观察中西医结合治疗、肿物单纯切除、扩大切除等不同方法治疗肉芽肿性小叶性乳腺炎的临床疗效。方法选择本院于2010年1月2013年1月收治的肉芽肿性小叶性乳腺炎患者60例进入本研究,患者均经石蜡病理检查确诊为肉芽肿性小叶性乳腺炎,按照数字随机法分为3组,分别采取中西医结合治疗、肿物单纯切除和扩大切除治疗,观察3组疗效差异。结果中西医结合治疗组治愈9例(45.0%),复发11例(55.0%),单纯切除组治愈16例(80.0%),复发4例(20.0%),扩大切除组治愈18例(90.0%),复发2例(10.0%),中西医结合治疗组复发率明显高于单纯切除组和扩大切除组(P<0.05)；中西医结合治疗组、单纯切除组、扩大切除组治疗后对乳房外形满意率分别为17例(85.0%)、15例(75.0%)和16例(80.0%),3组比较无明显差异(P>0.05)。结论扩大切除治疗肉芽肿性小叶性乳腺炎较其他2种方法疗效更佳,具有一定的临床价值。
目的：觀察中西醫結閤治療、腫物單純切除、擴大切除等不同方法治療肉芽腫性小葉性乳腺炎的臨床療效。方法選擇本院于2010年1月2013年1月收治的肉芽腫性小葉性乳腺炎患者60例進入本研究,患者均經石蠟病理檢查確診為肉芽腫性小葉性乳腺炎,按照數字隨機法分為3組,分彆採取中西醫結閤治療、腫物單純切除和擴大切除治療,觀察3組療效差異。結果中西醫結閤治療組治愈9例(45.0%),複髮11例(55.0%),單純切除組治愈16例(80.0%),複髮4例(20.0%),擴大切除組治愈18例(90.0%),複髮2例(10.0%),中西醫結閤治療組複髮率明顯高于單純切除組和擴大切除組(P<0.05)；中西醫結閤治療組、單純切除組、擴大切除組治療後對乳房外形滿意率分彆為17例(85.0%)、15例(75.0%)和16例(80.0%),3組比較無明顯差異(P>0.05)。結論擴大切除治療肉芽腫性小葉性乳腺炎較其他2種方法療效更佳,具有一定的臨床價值。
목적：관찰중서의결합치료、종물단순절제、확대절제등불동방법치료육아종성소협성유선염적림상료효。방법선택본원우2010년1월2013년1월수치적육아종성소협성유선염환자60례진입본연구,환자균경석사병리검사학진위육아종성소협성유선염,안조수자수궤법분위3조,분별채취중서의결합치료、종물단순절제화확대절제치료,관찰3조료효차이。결과중서의결합치료조치유9례(45.0%),복발11례(55.0%),단순절제조치유16례(80.0%),복발4례(20.0%),확대절제조치유18례(90.0%),복발2례(10.0%),중서의결합치료조복발솔명현고우단순절제조화확대절제조(P<0.05)；중서의결합치료조、단순절제조、확대절제조치료후대유방외형만의솔분별위17례(85.0%)、15례(75.0%)화16례(80.0%),3조비교무명현차이(P>0.05)。결론확대절제치료육아종성소협성유선염교기타2충방법료효경가,구유일정적림상개치。
Objective To observe the effect of different methods such as combined treatment of traditional Chinese and western medi-cine, the simple excision and expanded resection for the treatment of granulomatous lobular mastitis. Methods 60 cases of patients treated in our hospital from Jan. 2010 to Jan. 2013 were enrolled in this study, and they were confirmed the diagnosis of granulomatous lobular mas-titis by pathology examination. According to randomly number table, they were divided into three groups and they were given the treatment of combined treatment of traditional Chinese medicine and Western medicine, the simple excision, and expanded resection respectively. Where-after, the therapeutic effect of the three groups were observed. Results There were 9 cases (45. 0%) were of cure and 11 cases (55. 0%) of recurrence in the combined treatment group. There were 16 cases (80. 0%) of cure and 4 cases (20. 0%) of recurrence in the simple ex-cision group. There were 8 cases (90. 0%) of cure and 2 cases (10. 0%) of recurrence in the combined treatment group. It shows that the recurrence rate of combined treatment group was higher than the other two groups (P<0. 05). The satisfactory rate of breast appearance after treatment were 17 (85%), 15 (75%) and 16 (80%) respctively, and there is no significant difference (P>0. 05). Conclusion The effect of extended resectionin for the treatment of granulomatous is better and it has important clinical value.
