84例非哺乳期乳腺炎回顾性分析

Nonpuerperal mastitis: A retrospective analysis of 84 cases

  • 摘要: 目的 探讨非哺乳期乳腺炎的治疗方法。 方法 收集2016年1月-2017年10月收治于我院的诊断为非哺乳期乳腺炎的患者资料,总结可手术切除与无法手术切除患者在治愈率、复发率和治疗时间上的差异。 结果 纳入的84例患者中,58例接受手术切除(69.0%),该组患者乳腺均无急性炎症反应,肿块边界清晰,肿块大小< 5 cm,其余26例无法通过手术切除病灶(31.0%),该组患者有明显炎症反应(脓肿破溃/肿块> 5 cm)。手术切除的患者中,54例治愈,6例复发,复发的患者中2例至随访结束时已痊愈,复发率为10.3%。无法手术切除的患者中,12例至随访结束时病灶已愈合,且未观察到复发,6例病灶范围较前有缩小,其余8例病变无进展。 结论 非哺乳期乳腺炎患者如有手术指征可手术切除,若有明显炎症反应或暂不能行手术切除者可清创换药或单纯临床随访观察。

     

    Abstract: Objective To investigate the treatment of non-puerperal mastitis. Methods Clinical data about patients diagnosed as nonpuerperal mastitis in our hospital from January 2016 to October 2017 were collected, and their cure rate, recurrence rate and course of treatment were recorded and summarized. Results Of the 84 patients included in our study, 58 patients received surgical excision treatment (69%), whose breast mass showed no acute inflammatory reaction with clear boundary and the tumor size< 5 cm. The other 26 patients (31%) presented with obvious inflammation or abscess, ulceration, with tumor size> 5 cm, and could not be treated by surgery. Of the 58 patients with excision treatment, 54 patients were cured, 6 recurred with the recurrence rate of 10.3%.The 2 recurred patients were cured at the end of follow-up. Of the 26 patients without excision treatment, 12 patients were healed without recurrence, lesions shrinked in 6 patients and did not changed in 8 patients. Conclusion For patients with nonpuerperal mastitis, excision treatment is needed if there is surgical indication. However, for patients with obvious acute inflammatory reaction or patients who are unable to undergo surgical treatment temporarily, debridement and dressing or follow-up observation is feasible.

     

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