双环法保乳整形治疗肉芽肿乳腺炎的效果

Application of oncoplastic round block technique in surgical management of idiopathic granulomatous mastitis

目的探讨双环法保乳整形技术在肉芽肿乳腺炎手术中的效果。方法2014年1月至2019年12月,北京妇产医院乳腺科收治肉芽肿乳腺炎女性患者18例,年龄24~38岁,平均32.3岁。用双环切口进行炎症肿块切除,同时行保乳整形技术修复,并对术后效果进行分析。结果18例均采取双环法保乳整形技术切除炎症肿块,其中2例同时行对侧乳房双环法乳房缩小上提术。随访6~36个月,中位时间16.1个月。术后2例切口愈合不良,经换药后痊愈。随访期内1例局部复发(6个月),经保守治疗后治愈。全部患者均对术后效果满意。结论双环法保乳整形技术进行肉芽肿乳腺炎的治疗,可切除更多组织,降低复发率,同时获得较好的美体效果。

Objective To explore the efficacy of the oncoplastic round block technique in surgical management of idiopathic granulomatous mastitis(IGM).Methods From January 2014 to December 2019,a total of 18 patients(24 to 38 years old,32.2 years in average)with IGM underwent excision of the inflammatory breast mass with oncoplastic round block technique,the postoperative clinical efficacy was summarized and analyzed.Results All 18 patients with IGM underwent excision of the inflammatory breast mass with oncoplastic round block technique,among them 2 patients underwent round-block reduction surgery of contralateral breast at the same time.The median follow-up duration was 16.1 months(from 6 to 36 months).Incision poor healing occurred in two cases which was cured after dressing change.Recurrence occurred in one case at 6 months after operation,and then cured with conservative measures.No other severe complications occurred.All patients were satisfacted with the results.Conclusions Application of oncoplastic round block technique in surgical management of IGM may remove more tissue in order to reduce the recurrent rate,and get a better cosmetic results.