摘要
目的:分析用乳腺区域切除术+腺体成型术治疗乳腺导管扩张合并感染的临床疗效.方法:选取四川省达州市中心医院2015年8月至2016年9月收治的乳腺导管扩张合并感染患者60例作为研究对象.按收治的先后顺序将其分为观察组与对照组,每组各30例患者.为对照组患者采用部分乳管或全乳管切除术进行治疗,为观察组患者采用乳腺区域切除术+腺体成型术进行治疗.然后对比两组患者的治疗效果.结果:观察组患者术后切口愈合的时间短于对照组,其术后并发症的发生率及术后1年内其病情的复发率均低于对照组患者,其术后各项生活质量的评分均高于对照组患者,P<0.05.结论:用乳腺区域切除术+腺体成型术治疗乳腺导管扩张合并感染的疗效较为理想,具有患者术后并发症的发生率及病情的复发率均较低等优点.
objective:to analyze the clinical efficacy of regional mastectomy plus gland shaping in the treatment of mammary duct dilatation complicated with infection.Methods:60 patients with breast duct dilatation complicated with infection admitted to dazhou central hospital of sichuan province from August 2015 to September 2016 were selected as subjects.The patients were divided into observation group and control group according to the order of admission,with 30 patients in each group.Patients in the control group were treated with partial or total duct resection,and patients in the observation group were treated with regional mastectomy plus gland shaping.The two groups were then compared.Results:the postoperative wound healing time of the observation group was shorter than that of the control group,the incidence of postoperative complications and the recurrence rate of the disease within 1 year after the operation were lower than that of the control group,and the postoperative quality of life scores were higher than that of the control group,P<0.05.Conclusion:the effect of regional mastectomy plus glandulectomy in the treatment of mammary duct dilatation complicated with infection is relatively ideal,with the advantages of lower incidence of postoperative complications and recurrence rate.
作者
张梅
邹沅晔
吴畏
蒋金志
Zhang Mei;Zou Yuanye;Wu Wei;Jiang Jinzhi(Department of general breast and nail surgery,dazhou central hospital of sichuan province,dazhou 635000,China)