51例非哺乳期乳腺炎的临床分析

The clinical analysis of 51 cases of nonlactational mastitis

目的:探讨非哺乳期乳腺炎的病因、临床表现、辅助检查、诊断与鉴别诊断及治疗。方法:对51例非哺乳期乳腺炎患者的临床资料进行回顾性分析。结果:51例患者中,入院诊断为乳腺炎合并脓肿者26例(51.1%),乳癌或疑乳癌9例(17.6%),良性肿瘤7例(13.7%),乳腺增生9例(17.6%),所有患者均行手术治疗,术后病理证实为乳腺炎,误诊率为48.9%。结论:该病应根据不同的临床床表现采用相应的治疗方案,应尽可能将瘘管和周围的炎性组织及受累的导管整块切除,才能取得可靠的疗效。

Objective：To investigate etiology,clinical characteristics,examination,diagnosis of nonlactating mastitis and differential diagnosis and treatment.Methods：Clinical data of 51 cases with nonlactating mastitis were retrospectively analyzed.Results：Of all 51cases,26（51.1%） cases were diagnosed correctly as nonlactating mastitis,9（17.6%） cases were misdiagnosed as breast cancer or suspicious malignancy,7（13.7%） cases were misdiagnosed as mammary benign tumor,9（17.6%） cases were misdiagnosed as mammary hyperplasia.All cases received surgerical therapy,the pathological characteristics confirmed the diagnosis of nonlactating mastitis.Conclusion：The disease should use different treatment basing on the clinical characteristics,and the fistula and involvement of inflammatory should be excised as far as possible,in order to obtain reliable results.