中国普外基础与临床杂志

中国普外基础与临床杂志

微创旋切加引流与开放切除病灶治疗肉芽肿性乳腺炎对照研究

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目的 对照研究超声引导下微创旋切加置管引流与开放手术治疗脓肿期肉芽肿性乳腺炎的治疗效果。 方法 回顾性分析并选取 2016 年 12 月至 2017 年 3 月期间于成都市第三人民医院收治的脓肿期肉芽肿性乳腺炎患者 9 例以及 2017 年 3 月至 2017 年 10 月期间于四川省妇幼保健院收治的脓肿期肉芽肿性乳腺炎患者 29 例共计 38 例作为研究组,所有患者均采取彩超引导下的安珂微创旋切术加术后置管引流冲洗治疗。同时按照 1∶1 配对研究,选取 2015 年 7 月至 2016 年 11 月期间于成都市第三人民医院采取一期多孔硅胶管引流加二期病灶切除的 38 例脓肿期肉芽肿性乳腺炎患者作为对照组。对比 2 组患者在治疗时间、术后美容效果以及复发率方面的差异。 结果 研究组的治疗时间明显短于对照组(t=74.000,P<0.001),研究组的术后美容效果优良率明显高于对照组(χ2=7.280,P=0.007),2 组患者术后 1 年复发率比较差异无统计学意义(χ2=0.559,P=0.455)。 结论 微创旋切加置管引流冲洗治疗脓肿期肉芽肿性乳腺炎在不增加复发率的基础上可明显缩短治疗时间并能收到良好的美容效果。

Objective To compare curative effect of catheter drainage following ultrasound-guided vacuum-assisted rotary excision and traditional excision in treatment of granulomatous mastitis in abscess stage. Methods A total of 38 patients with granulomatous mastitis in abscess phase from December 2016 to March 2017 in the Third People’s Hospital of Chengdu City and from March 2017 to October 2017 in the Sichuan Provincial Hospital for Women and Children were included as a study group, who were received the catheter drainage following ultrasound-guided vacuum-assisted rotary excision. A total of 38 similar cases from July 2015 to November 2016 in the Third People’s Hospital of Chengdu City were collected as a control group according to the 1∶1 matching principle, who were received the traditional excision. The therapeutic period, postoperative appearance of breast, and recurrence rate were compared between these two groups. Results Compared with the control group, the therapeutic period was significantly shorter (t=74.000, P<0.001), the postoperative appearance of breast was significantly better (χ2=7.280, P=0.007) in the study group, while the recurrence rate had no significant difference (χ2=0.559, P=0.455) between these two groups. Conclusions Catheter drainage following ultrasound-guided vacuum-assisted rotary excision shows advantages in postoperative therapeutic period and appearance of breast and doesn’t increase relapse rate as compared with traditional surgery for patients with granulomatous mastitis in abscess stage.

关键词: 肉芽肿性乳腺炎; 脓肿期; 微创旋切; 引流

Key words: granulomatous mastitis; abscess phase; minimally invasive rotary excision; drainage

引用本文: 张海燕, 万航宇, 王品, 罗静, 杨枫, 徐基成, 胡会华, 冯金燕, 温婧. 微创旋切加引流与开放切除病灶治疗肉芽肿性乳腺炎对照研究. 中国普外基础与临床杂志, 2019, 26(1): 67-71. doi: 10.7507/1007-9424.201810001 复制

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