区段切除术对非哺乳期乳腺炎的治疗效果研究

Curative effect of partial excision on non-lactation mastitis

探讨区段切除术在非哺乳期乳腺炎治疗中的效果及临床价值。回顾性分析区段切除手术治疗56例非哺乳期乳腺炎患者的临床资料，总结治疗手段、疗效和复发情况。56例中，左侧乳腺炎29例，右侧26例，双侧1例；年龄18~54（33.8±1.2）岁；白细胞增高5例（8.9%）；接受细菌培养29例，发现细菌感染3例（10.3%）；乳头凹陷或发育不良20例（35.7%）；接受钼靶摄片14例，6例怀疑为乳腺癌（42.9%）。根据患者实际病灶部位分别行乳腺外上、外下、内上、内下四象限的区段切除术，切口拆线一期愈合51例，切口张力较大延迟愈合3例；2例手术失败再次手术，1例再次手术后一期愈合，另1例采用中医敞开换药直至愈合。随访无复发，所有患者对术后乳房外观相对满意。非哺乳期乳腺炎多为非细菌感染引起，区段切除术治疗非哺乳期乳腺炎患者安全性好，手术成功率高，术后恢复情况较佳。

To explore the effect and clinical value of partial excision on non-lactation mastitis. A retrospective analysis was made on the clinical data on 56 patients with non-lactation mastitis to receive partial excision in our department. The treatment method, curative effect, and recurrence were summarized. In 56 cases, there were left-side mastitis in 29 cases, right-side mastitis in 26 cases, and bilateral mastitis in one case; the patients were 18-54（33.8±1.2 ）years old;white blood cell count increased in five cases（8.9%）;29 cases received bacterial culture and bacterial infection was found in three cases（10.3%）;nipple depression or hypoplasia in 20 cases（35.7%）; 14 cases received mammography, and breast cancer was suspected in six cases （42.9%）. According to the actual lesions, the patients received partial excision of breast in the four quadrants：upper outer, lower outer, upper inner, and lower inner. The incision suture healed in the first phase in 51 cases; healing of incision was delayed due to large tension in three cases;operation failed firstly and made again in two cases, in which one healed in the first phase but the other had to use traditional Chinese medicine to change the dressing till healing. No recurrence was found in the follow-up period, and all patients showed their satisfaction with the post-operative breast appearance. Non-lactation mastitis is usually caused by bacterial infection; partial excision in the treatment of non-lactation mastitis is high reliable; the operation has high success rate, and the postoperative recovery is good.