乳腺导管探查术治疗乳汁淤积的效果

Therapeutical effect of breast ductal exploration on galactostasis

目的探讨乳腺导管探查术对乳汁淤积的治疗效果。方法选取2009年1月至2012年9月在本院诊断为乳汁淤积且乳腺物理治疗失败的患者280例,将其分为两组:研究组106例,改用乳腺导管探查术治疗;对照组174例,继续采用乳腺物理综合治疗。采用χ2检验统计分析两种方法治疗乳汁淤积的效果。结果研究组和对照组的一次治愈率分别为51.9%(55/106)和16.7%(29/174),两组比较差异有统计学意义(χ2=38.910,P=0.000)。研究组和对照组的治疗有效率分别为89.6%(95/106)和68.4%(119/174),两组比较差异也有统计学意义(χ2=16.483,P=0.000)。研究组中15例复发,对照组25例,两者比较差异无统计学意义(χ2=0.003,P=0.960)。结论乳腺导管探查治疗乳汁淤积,效果明显,值得推广。

Objective To investigate the efficacy of the breast ductal exploration in treatment of galactostasis. Methods A total of 280 patients who were diagnosed with breast galactostasis and whose physical treatment turned out to be a failure in our hospital from January 2009 to September 2012 were enrolled in this study. They were divided into two groups： the experimental group （106 patients received ductal exploration） and the control group （174 patients continued physical treatment）. Х^2 test was used to analyze the difference of treatment effect in 2 groups. Results The cure rates after one time treatment were 51.9% （55/106） in the experimental group and 16.7% （29/174） in the control group, and the difference was statistically significant （Х^2 =38. 910, P=0. 000）. Effective rates were 89. 6% （95/106） in the experimental group and 68.4% （119/174） in the control group, and the difference was statistically significant （Х^2= 16. 483, P= 0. 000）. There were 15 patients with recurrence in the experimental group and 25 in the control group, which indicated no statistically significant difference between two groups （ Х^2= 0. 003, P = 0. 960）. Conclusion The breast ductal exploration is effective in galactostasis patients, which is worthy of being widely applied in clinic.