支架法治疗复发性乳头凹陷性乳腺导管瘘的临床分析

Clinical analysis of stent method in treating recrudescent mammillary fistulas with nipple retraction

目的初步探讨支架法是否能有效地治疗复发性乳头凹陷性乳腺导管瘘。方法回顾性分析复发性乳头凹陷性乳腺导管瘘32例,总结其病因和瘘管周围结构特点,以及利用支架法进行。在控制感染的基础上,找到乳头内引流的大导管,停留支架管支撑并Ⅰ期重建乳头。结果32例患者经治疗后均治愈,术后16个月随访均无复发。结论支架法治疗复发性乳头凹陷性乳腺导管瘘简单有效,值得临床推广。

Objective To explore the effectiveness of using stent method to treat recrudescent mammillary fistulas with nipple retraction. Methods Thirty-two cases of recrudescent mammillary fistulas with nipple retraction treated with stent method were reviewed. After well control of infection,the key point of stent method was to find the big drainage lactiferous duct of the nipple and then to insert a stent to support the nipple. And phase I nipple reconstruction were performed in all the 32 cases. Results All of 32 patients were recovered after treatment and no recurrence occurred after a medium follow-up time of 16 months. Conclusion The stent method is simple and effective to treat recrudescent mammillary fistulas with nipple retraction and is worthy of promotion in clinic.