乳腺结核的诊治探讨:附89例报告

The diagnosis and treatment of breast tuberculosis: a report of 89 cases

目的探讨乳腺结核的诊断和治疗方法。方法回顾性分析2 1年间收治的8 9例乳腺结核的临床资料。结果乳腺结核的发病率逐年增高,边远山区农民及进城打工族是高发群体,误诊率高达6 2.9%。治疗以手术为主,辅以综合治疗;选择恰当时机,能减少手术切除范围,满足年轻女性生活质量的要求。结论临床医生应提高对乳腺结核的认识,提高确诊率,以防漏诊误诊,特别是误诊为乳癌,以免给患者造成不应有的痛苦和负担。

Objective To investigate the diagnosis and treatment for tuberculosis of the breast. Methods Retrospectively analyzed the clinical data of 78 patients with tuberculosis of the breast treated in our hospital in the past 21 years was made. Results The incidence of tuberculosis of the breast has been increasing year by year, peasants of remote mountain areas and civilian workers in the cities were the high affected groups. Misdiagnosis rate was as high as 62.9 %. Operation combined with other therapies, and selection of opportune time for operation can reduce the extent of resection, and satisfy the demands of young female patients for high quality of life. Conclusions Clinical doctors should improve their recognition of tuberculosis of the breast, increase the rate of correct diagnosis, and avoid missed diagnosis and misdiagnosis, especially misdiagnosis of tuberculosis for breast cancer, which can cause the patients to undergo unnecessary pain and economic burden.