不同切口乳房肿瘤整形外科技术在非哺乳期乳腺炎治疗中的临床观察

Clinical efficacy of breast plastic surgery using different incision techniques in the treatment of nonlactational mastitis

目的探讨不同切口乳房肿瘤整形外科技术在非哺乳期乳腺炎手术治疗中的临床效果。方法选取2020年3月至2021年6月间宝鸡市妇幼保健院收治的52例肿块型非哺乳期乳腺炎患者的临床资料,依据其治疗方法分为治疗组(30例)和对照组(22例),两组均采用抗生素加激素对症治疗5~7d,肿块缩小后治疗组给予不同切口乳房肿瘤整形外科技术行病灶区段切除加腺体瓣转移缩乳整形技术,对照组给予传统病灶局部切口区段切除缝合技术。比较两组术后疗效和患者满意度。结果52例患者中共51例治愈出院,1例好转出院,治疗组中30例患者均愈合良好,对照组中21例患者愈合良好,1例愈合不良。治疗组30例患者中6例术后发生并发症,发生率为20.0%,对照组22例患者中21例术后发生并发症,发生率为95.5%,差异有统计学有意义(P<0.05)。治疗组患者对乳房外形的满意度高于对照组,治疗组患者均要求二期行健侧乳房缩乳整形术,对照组患者对乳房外形极不满意,拒绝再次行乳房相关手术,差异有统计学有意义(P<0.05)。结论不同切口乳房肿瘤整形技术在非哺乳期乳腺炎治疗中的美容效果及患者满意度优于传统病灶局部切口区段切除缝合技术,值得临床推广应用。

Objective To observe the clinical efficacy of breast plastic surgery using different incision techniques in the treatment of non-lactational mastitis. Methods The clinical data of 52 patients with mass type non-lactational mastitis admitted to Baoji Maternal and Child Health Hospital were retrospectively analyzed from March 2020 to June 2021. According to the treatment methods, they were divided into a treatment group(30 patients) and a control group(22 patients). After mass reduction with the treatment using antibiotics plus hormones for 5 to 7 d, the treatment group underwent plastic surgery for breast tumors using different incisions, and the control group underwent surgery using traditional techniques of local incisions for regional excision and suture. The postoperative efficacy and patient satisfaction were compared between the two groups. Results Of 52 patients, 51 patients were cured and discharged and 1 patient recovered and discharged. Good healing was achieved in 30 patients in the treatment group and 21 patients in the control group and 1 patient healed poorly. Postoperative complications occurred in 6 patients in the treatment group(20.0%) and 21 patients in the control group(95.5%, P<0.05). Patient satisfaction with breast shape was higher in the treatment group than in the control group(P<0.05). Patients in the treatment group asked to undergo contralateral breast reduction mammoplasty in the second stage, while patients in the control group were extremely dissatisfied with the breast shape and refused to undergo breast related surgery again(P<0.05). Conclusion The cosmetic effect and patient satisfaction are higher for breast plastic surgery with different incisions in the treatment of non-lactational mastitis than that of traditional local incision and segmental resection and suture technique, which is worthy of clinical application.