肉芽肿性乳腺炎的诊断和治疗

Diagnosis and treatment of granulomatous mastitis

目的:探讨肉芽肿性乳腺炎的诊断及治疗手段,降低复发率。方法:将齐齐哈尔医学院附属第三医院2007年1月～2010年12月经手术治疗且病理证实为肉芽肿性乳腺炎的10例患者的临床资料进行总结,并对不同地区患者的临床表现进行回顾性分析;所有患者均行乳腺彩超、乳腺X线、外科体检检查,对各项检查结果及治疗结果进行归纳。结果:10例患者均行手术治疗,其中6例术后应用激素及抗生素治疗,无局部复发;未应用激素治疗的4例患者中,2例术后出现局部复发,1例复发后应用激素治疗,病情得到缓解,1例再次手术治疗,术后至今未复发。结论:抗生素联合激素在术后使用,可降低肉芽肿性乳腺炎的复发率。

Objective：To explore the diagnosis and treatment of granulomatous mastitis,reduce the recurrence rate. Methods：The clinical data of 10 patients with granulomatous mastitis who received surgery and were confirmed by pathological examination in the hospital from January 2007 to December 2010 were summarized,and the clinical manifestations of patients in different regions were analyzed retrospectively;all the patients received ultrasonography of mammary gland,mammography and surgical physical examination,the results of inspection and treatment were concluded. Results：All the 10 patients received surgery,and 6 patients were treated with hormone and antibiotics after surgery,no local recurrence occurred;among the other 4 patients without hormonotherapy,local recurrence occurred in 2 patients,1 patient was relieved after hormonotherapy when recurrence occurred,1 patient received secondary surgery,no recurrence occurred. Conclusion：Postoperative usage of antibiotics combined with hormone can reduce the recurrence rate of granulomatous mastitis.