非哺乳期乳腺炎三种治疗方法的疗效与经济性比较

Efficacy and Economic Comparison of Three Treatment Methods for Non-lactation Mastitis

目的:比较非哺乳期乳腺炎三种治疗方法的疗效和经济性。方法:选取2019年7月至2021年5月期间安阳市妇幼保健院诊治的120例非哺乳期乳腺炎患者作为研究对象,根据患者治疗意愿分为手术组(其中传统手术组30例,联合手术组30例)、中医中药治疗组(30例)、微创灌洗治疗组(30例),比较各组的疗效与经济性。结果:手术组总治愈率81.6%,其中联合手术组90.0%,传统手术组73.3%,中医中药组治愈率76.7%,微创灌洗组治愈率66.7%,联合手术组与其余各组组间比较,差异具有统计学意义(P <0.05)。联合手术组乳房外观满意度显著高于其余治疗组,差异具有统计学意义(P <0.05);中医中药组治疗时长多于其余治疗组,微创灌洗治疗组治疗平均总费用高于其余治疗组,差异具有统计学意义(P <0.05)。结论:经过适当综合治疗后,选择手术、中医中药、微创灌洗治疗的非哺乳期乳腺炎患者均可以达到较好的疗效,手术治疗可有效降低复发风险和改善乳房外观,且经济性是最优的,尤其是联合乳房成型术的手术治疗。

Objective To compare the efficacy and economy of three treatment methods for non-lactation mastitis.Methods A total of 120 non-lactating mastitis patients diagnosed and treated in Anyang Maternal and Child Health Care Hospital from July 2019 to May 2021 were selected as research objects.According to the patients'treatment intention,they were divided into surgery group(including 30 traditional surgery group and 30 combined surgery group),traditional Chinese medicine treatment group with 30 cases,and minimally invasive lavage treatment group with 30 cases.The efficacy and economy of each group were compared.Results The total cure rate of the surgery group was 81.6%,including 90.0%of the combined surgery group,73.3%of the traditional surgery group,76.7%of the traditional Chinese medicine group and 66.7%of the minimally invasive lavage group.Comparison between the combined surgery group and other groups,and the differences were statistically significant(P<0.05).The satisfaction degree of breast appearance in the combined surgery group was significantly higher than that in the other treatment groups(P<0.05).The treatment time of the traditional Chinese medicine group was longer than that of the other treatment groups,and the average total treatment cost of the minimally invasive lavage treatment group was higher than that of the other treatment groups(P<0.05).Conclusion After appropriate comprehensive treatment,non-lactating mastitis patients who choose surgery,traditional Chinese medicine,and minimally invasive lavage can achieve better efficacy.Surgical treatment can effectively reduce the risk of recurrence and improve the appearance of the breast,and is economical and optimal,especially the surgical treatment combined with mammaplasty.