导管周围乳腺炎与肉芽肿性乳腺炎的处置

Disposal Around the Catheter Mastitis and Granulomatous Mastitis

目的探讨分析导管周围乳腺炎与肉芽肿性乳腺炎的临床特点不同处理方式。方法选取33例2014年9月—2016年9月期间于该院治疗的导管周围乳腺炎和肉芽肿性乳腺炎患者,其中有23例患者患有导管周围乳腺炎,有10例患者患有肉芽肿性乳腺炎,所有患者都已经通过病理诊断,确认患病,对患者的临床资料、临床表现和病理诊断显示的特征做回顾性分析,比较这两种乳腺炎的差异,并对患者进行针对性治疗和处理,观察患者治疗后的效果。结果 23例导管周围乳腺炎患者的复发率为0%,肉芽肿性乳腺炎患者一次治疗再次复发的的机率为30%,总结治疗方法,再次治疗后,复发率为0%。结论导管周围乳腺炎和肉芽肿性乳腺炎在临床表现上有很大的相似性,在进行确诊时需要临床和病理检查相结合,总体来说,手术是该病的主要医疗方式,但是对于出现大面积病变的患者来说,最好先用三联抗菌药物进行治疗,等病变缩小到1-2 cm且病情稳定时,再进行手术治疗,这样能达到更好的治疗效果。

Objective To analyze the clinical characteristics of the surrounding conduit granulomatous mastitis and mastitis treated differently. Methods 33 cases in September 2014 to September 2016 granulomatous mastitis and mastitis patients with peripheral catheters in our hospital, of which around 23 patients suffering from mastitis catheter, 10 patients suffering from granulomatous mastitis, all patients have passed pathological diagnosis confirmed illness, the patient's clinical data, clinical and pathological diagnosis display characteristics were analyzed retrospectively, comparing the two differences of mastitis, and patients targeted therapies and treatment effect observed in patients after treatment.Results 23 patients with peripheral catheter mastitis patients relapse rate was 0% in patients with granulomatous mastitis treatment once again the probability of relapse was 30%, summarize treatment, again after treatment, the recurrence rate was 0%. Conclusion Peripheral catheter granulomatous mastitis and mastitis in the clinical manifestations are very similar, we need a combination of clinical and pathological examination during diagnosis, in general, surgery is the main way of medical disease, but for patients with large lesions, it is best to use triple antimicrobial drug treatment, and other diseases reduced to 1~2 cm and steady condition, then surgery, this can achieve better therapeutic effect.