超声引导微创旋切术治疗非哺乳期乳腺炎的临床效果

Ultrasound-guided minimally invasive surgery for non-puerperal mastitis

目的探讨超声引导微创旋切术治疗非哺乳期乳腺炎的临床效果。方法采用回顾性分析方法,选取2013年1月至2016年6月南方医科大学附属小榄医院乳腺外科收治的36例非哺乳期乳腺炎患者作为研究对象,对患者实施超声引导下微创旋切手术,术后辅以持续负压引流,并观察该术式的治疗效果、术后恢复时间和复发情况。结果本组36例患者经术后病理证实均为浆细胞性乳腺炎或肉芽肿性乳腺炎。术后24例拔管后一期痊愈无复发; 8例行局部反复冲洗治愈; 4例于术后5个月内出现复发,复发率为11. 1%(4/36),再次予以微创手术治疗后痊愈,其余患者术后随访1年未见复发。结论在非哺乳期乳腺炎的治疗中,采用超声引导微创旋切术具有切口小,患者疼痛轻,复发率低的优点,是非哺乳期乳腺炎有效的治疗方法之一。

Objective To investigate clinical outcome of ultrasound-guided minimally invasive surgery in the treatment of non-puerperal mastitis.Methods The clinical data of 36 non-puerperal mastitis patients in Xiaolan Hospital,Southern Medical University from January 2013 to June 2016 were retrospectively analyzed.All patients underwent ultrasound-guided minimally invasive surgery,followed by postoperative continuous negative-pressure drainage.The clinical outcome,postoperative recovery and reoccurrence were analyzed.Results All 36 patients were diagnosed with plasma cell mastitis or granulomatous mastitis by postoperative pathology.No recurrence was found in 24 cases after extubation.Eight cases underwent repeated local rinsing and recovered.Four cases had recurrence within postoperative 5 months and the recurrence rate was 11.1%(4/36).They were treated by minimally invasive reoperation and recovered.No recurrence was observed for other patients in the one-year follow-up.Conclusion The ultrasound-guided minimally invasive surgery has the advantages of small incision,mild pain and low recurrence rate,feasible for the treatment of non-puerperal mastitis.