抗生素配合手术治疗浆细胞性乳腺炎的可行性及安全性

目的探究抗生素配合手术治疗浆细胞性乳腺炎的可行性及安全性。方法选取120例浆细胞性乳腺炎患者,按照手术方法的不同分为观察组和对照组,其中观察组70例,采用抗生素配合手术治疗;对照组50例,采用手术治疗。观察术后1个月伤口愈合率及疼痛分级,随访1年并记录复发率。结果观察组术后1个月伤口愈合率78.6%明显高于对照组44.0%(P<0.05)。观察组术后1个月疼痛分级0、2、3级优于对照组(P<0.05),但1级差异无统计学意义。随访1年观察组复发率7.1%明显小于对照组20.0%(P<0.05)。结论抗生素配合手术治疗浆细胞性乳腺炎临床疗效好,复发率低,可有效减轻患者痛苦,值得临床推广。

Objective To explore the feasibility and safety of the antibiotic with surgical treatment plasma cell mastitis. Methods 120 cases were treated with plasma cell mastitis, according to different surgical methods, 120 cases were divided into observation group and the, observation group has 70 cases, using antibiotics with surgery, the control group has 50 patients treated by surgery. Observed and recorded postoperative a month rate of wound healing and pain rating, followed up a year and recorded the relapse rate. Results The rate of （78.6%） wound healing after was significantly higher than control group （44.0%） （P〈0.05）. Observation groups postoperative pain in 0, 2, 3 grade level was better than the control group observed after postoperative a month （P〈0.05）, but the 1 grade has no difference. One year follow-up, the recurrence rate of observation group （7.1%） was significantly lower than the control group 20.0% （P〈0.05）.Conclusion Antibiotic therapy with surgery treating plasma cell mastitis has good clinical efficacy, low recurrence rate, which can effectively reduce patient suffering, worthy of clinical promotion.