西南国防医药
西南國防醫藥
서남국방의약
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN SOUTHWEST CHINA
2015年
6期
616-618
,共3页
区段切除%非哺乳期%乳腺炎%疗效
區段切除%非哺乳期%乳腺炎%療效
구단절제%비포유기%유선염%료효
partial excision%non-lactation%mastitis%curative effect
探讨区段切除术在非哺乳期乳腺炎治疗中的效果及临床价值。回顾性分析区段切除手术治疗56例非哺乳期乳腺炎患者的临床资料，总结治疗手段、疗效和复发情况。56例中，左侧乳腺炎29例，右侧26例，双侧1例；年龄18~54(33.8±1.2)岁；白细胞增高5例(8.9%)；接受细菌培养29例，发现细菌感染3例(10.3%)；乳头凹陷或发育不良20例(35.7%)；接受钼靶摄片14例，6例怀疑为乳腺癌(42.9%)。根据患者实际病灶部位分别行乳腺外上、外下、内上、内下四象限的区段切除术，切口拆线一期愈合51例，切口张力较大延迟愈合3例；2例手术失败再次手术，1例再次手术后一期愈合，另1例采用中医敞开换药直至愈合。随访无复发，所有患者对术后乳房外观相对满意。非哺乳期乳腺炎多为非细菌感染引起，区段切除术治疗非哺乳期乳腺炎患者安全性好，手术成功率高，术后恢复情况较佳。
探討區段切除術在非哺乳期乳腺炎治療中的效果及臨床價值。迴顧性分析區段切除手術治療56例非哺乳期乳腺炎患者的臨床資料，總結治療手段、療效和複髮情況。56例中，左側乳腺炎29例，右側26例，雙側1例；年齡18~54(33.8±1.2)歲；白細胞增高5例(8.9%)；接受細菌培養29例，髮現細菌感染3例(10.3%)；乳頭凹陷或髮育不良20例(35.7%)；接受鉬靶攝片14例，6例懷疑為乳腺癌(42.9%)。根據患者實際病竈部位分彆行乳腺外上、外下、內上、內下四象限的區段切除術，切口拆線一期愈閤51例，切口張力較大延遲愈閤3例；2例手術失敗再次手術，1例再次手術後一期愈閤，另1例採用中醫敞開換藥直至愈閤。隨訪無複髮，所有患者對術後乳房外觀相對滿意。非哺乳期乳腺炎多為非細菌感染引起，區段切除術治療非哺乳期乳腺炎患者安全性好，手術成功率高，術後恢複情況較佳。
탐토구단절제술재비포유기유선염치료중적효과급림상개치。회고성분석구단절제수술치료56례비포유기유선염환자적림상자료，총결치료수단、료효화복발정황。56례중，좌측유선염29례，우측26례，쌍측1례；년령18~54(33.8±1.2)세；백세포증고5례(8.9%)；접수세균배양29례，발현세균감염3례(10.3%)；유두요함혹발육불량20례(35.7%)；접수목파섭편14례，6례부의위유선암(42.9%)。근거환자실제병조부위분별행유선외상、외하、내상、내하사상한적구단절제술，절구탁선일기유합51례，절구장력교대연지유합3례；2례수술실패재차수술，1례재차수술후일기유합，령1례채용중의창개환약직지유합。수방무복발，소유환자대술후유방외관상대만의。비포유기유선염다위비세균감염인기，구단절제술치료비포유기유선염환자안전성호，수술성공솔고，술후회복정황교가。
To explore the effect and clinical value of partial excision on non-lactation mastitis. A retrospective analysis was made on the clinical data on 56 patients with non-lactation mastitis to receive partial excision in our department. The treatment method, curative effect, and recurrence were summarized. In 56 cases, there were left-side mastitis in 29 cases, right-side mastitis in 26 cases, and bilateral mastitis in one case; the patients were 18-54(33.8±1.2 )years old;white blood cell count increased in five cases(8.9%);29 cases received bacterial culture and bacterial infection was found in three cases(10.3%);nipple depression or hypoplasia in 20 cases(35.7%); 14 cases received mammography, and breast cancer was suspected in six cases (42.9%). According to the actual lesions, the patients received partial excision of breast in the four quadrants:upper outer, lower outer, upper inner, and lower inner. The incision suture healed in the first phase in 51 cases; healing of incision was delayed due to large tension in three cases;operation failed firstly and made again in two cases, in which one healed in the first phase but the other had to use traditional Chinese medicine to change the dressing till healing. No recurrence was found in the follow-up period, and all patients showed their satisfaction with the post-operative breast appearance. Non-lactation mastitis is usually caused by bacterial infection; partial excision in the treatment of non-lactation mastitis is high reliable; the operation has high success rate, and the postoperative recovery is good.
