摘要
目的 总结非哺乳期乳腺炎的诊治经验,提高对该疾病的认识和诊治水平.方法 对2003-2013年广州市海珠区妇幼保健院乳腺科收治的82例非哺乳期乳腺炎的临床资料作回顾性分析,单纯手术组患者11例,药物治疗组71例,其中导管周围乳腺炎患者采用三联抗分枝杆菌药物,肉芽肿性乳腺炎患者采用皮质醇激素.结果 所有患者均经病理活检明确诊断.单纯药物组（三联或者激素）总病程（11.92±6.50）周,4周后缓解率为（89.06±2.25）％,药物加手术组总病程（6.57±2.30）周,术后未见复发,单纯手术组总病程（17.09±13.11）周,4周后缓解率为（63.64±1.10）％,三组对比总病程及累计缓解率曲线差异均有统计学意义（P＜0.05）.结论 非哺乳期乳腺炎需临床与病理检查结合确诊.手术并不是唯一的治疗选择,三联抗分枝杆菌及皮质醇激素针对不同的病理类型进行药物保守治疗可以取得良好的治疗效果,药物联合手术治疗可以缩短病程及降低复发率,是治疗非哺乳期乳腺炎有效的治疗手段.
Objective To explore and summarize the clinical features and treatmentof the nonpuerperal masti- tis. Methods Eighty-two cases of nonpuer-petal mastitis from 2003 to 2013 were analyzed retrospectively. All pa- tients were divided into surgel：~ alone group （11 cases ）and medication combined surgery group （71 cases ）, which PDM patients with triple anti-myeobacterial drugs therapy, GM patients with cortical hormone therapy. Results All patients were diagnosed by biopsy. The total duration of simple drug group （ triple or hormone） is （ 11.92 ＋ 6.50） weeks and remission rate after 4 weeks was （89.06 -＋ 2.25 ） %. Drugs plus surgery group, the total duration of the group is （ 6.57 ＋ 2. 30 ） weeks, and no recurrence. The total duration of the simple surgery group is （ 17.09 -＋ 13.11 ） weeks and remission rate after 4 weeks was （63.64 -＋ 1.10） %. Comparison of the total duration of the three groups and the cumulative response rate curves were significantly different（P 〈0.05）. Conclusions Nonpuerperal mastitis requires a combination of clinical and pathological diagnosis. Surgery is not the only treatment option, triple anti-mycobacterial or cortisol hormones for different types of pathology conservative treatment can a- chieve a satisfactory therapeutic effect. Drug therapy combined with surgery can shorten the duration and reduce the relapse rate, it is an effective treatment for nonpuerperal mastitis.
出处
《国际外科学杂志》
2014年第3期177-180,共4页
International Journal of Surgery
关键词
非哺乳期乳腺炎
乳腺炎
诊断
治疗结果
Nonpuerperal mastitis
Mastitis
Diagnosis
Treatment outcome
