摘要
目的：探讨乳管镜在哺乳期乳汁淤积性乳腺炎即非细菌性乳腺炎治疗中的作用。方法对河南省濮阳市妇幼保健院乳腺科2010年7月至2014年6月间哺乳期乳汁淤积性乳腺炎患者200例，给予乳管镜下病变乳腺管疏通冲洗治疗，并进行疗效分析。结果治疗1次治愈率85％（170／200），治疗2次治愈率7.5％（15／200），治疗3次治愈率2.0％（4／200），5.5％（11／200）转行其他治疗。继续哺乳率97.0％（194／200）。结论乳管镜能直观堵塞乳腺管的病变情况，能有效疏通乳汁淤积堵塞的乳腺管，为乳汁淤积性乳腺炎患者提供了一种新的检查和有效的治疗方法，提高了病因诊断的准确率及治愈率。及时发现乳腺管内占位性病变，进行乳腺管内病变的定位，可缩小手术范围。
Objective To investigate the effect of mammary ductoscope in treatment of lactational masti-tis induced by galactostasis （ nonbacterial mastitis ） .Methods This study included 200 patients with galactosta-sis-induced lactational mastitis in Department of Breast Surgery , Puyang Maternal and Child Health Care Hospital of Henan Province, from Jul.2010 to Jun.2014.The affected lactiferous ducts were unblocked and flushed un-der mammary ductoscope.The treatment outcomes were analyzed .Results Of all patients, 85%（170/200）were cured after being treated once, 7.5%（15/200）were cured after being treated twice, 2.0%（4/200）were cured af-ter being treated three times, and 5.5%（11/200）were converted to other therapies;97.0%（194/200）continued lactation after treatment .Conclusions The mammary ductoscope is effective in identifying the blockade of lactifer-ous ducts and draining the lactiferous ducts with galactostasis .It provides an effective diagnostic and therapeutic means for patients with galactostasis-induced lactational mastitis and can increase the accuracy of etiological diagno -sis and the cure rate.In addition, the space-occupying lesions in lactiferous ducts can be identified and located in time with the mammary ductoscope , thus reducing the length of operation .
出处
《中华内分泌外科杂志》
CAS
2015年第5期409-410,共2页
Chinese Journal of Endocrine Surgery
关键词
乳腺管
乳汁淤积性乳腺炎
Mammary ductoscope
Mastitis due to galactostasis
