34例乳腺良性疾病再手术原因分析及对策

Causal analysis and countermeasure of reoperation for 34 cases with benign breast diseases

目的探讨乳腺良性疾病再手术的原因与应对方法。方法对我科1995年1月到2003年1月收治进行二次手术的34例乳腺良性疾病的原因、治疗方法进行回顾性分析。结果全组34例,以主诉伴或不伴有症状的局部肿块为最常见,再发是二次手术主要原因,以纤维囊性乳腺病最多见,其次为乳腺纤维腺瘤和乳腺癌。结论乳腺纤维囊性增生、乳腺纤维瘤及乳腺癌是造成乳腺良性疾病再手术的主要原因;乳腺增生有恶变可能,局部切除病变并长期随访对这类患者是必要的。

Objectivebenign breast disease. MethodsTo explore the causes and countermeasures of theFrom January 1995 to Junuary 2003,34 cases withre-operation ofbenign diseasereceived reoperation were analyzed retrospectively. Results Among the 34 cases, most of chiefcomplaints were palpable lump with or without symptoms.Main causes of reoperation were tumorrecurrence and most of them were fibrocystic disease of breast and fibroadenoma of breast and breastcancer were secondary. Conclusion The main re-operative causes of benign breast diseases arefibroadenorna of breast and breast cancer. Because of mammary hyperplasia may produce malignantchange, lumpectomy and long-term follow-up are necessary.