外科手术治疗肉芽肿性小叶乳腺炎患者的临床观察
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摘要
目的探讨乳房整形术在肉芽肿性小叶乳腺炎治疗的可行性及其美容效果。方法收集2013年1月至2017年12月汕头大学医学院附属粤北人民医院接受传统手术及整形保乳技术手术的肉芽肿性小叶乳腺炎患者,比较两组复发率及术后乳房美容效果。结果复发率在两组间比较,差异均无统计学意义(P>0.05)。整形保乳的术后乳房美容效果优于传统手术组,差异有统计学意义(P<0.05)。结论整形保乳术治疗肉芽肿性小叶乳腺炎患者具有安全、有效、术后美容效果好等优点。
Objective To assess the feasibility and cosmetic effect of oncoplastic breast-conserving surgery(OBCS) in the treatment of Granulomatous lobular mastitis. Methods Patients with Granulomatous lobular mastitis who received traditional surgery and OBCS in Yuebei People.s Hospital of Shaoguan from January 2013 to December 2017 were collected. The recurrence rate and postoperative breast cosmetic effect of the two groups were compared. Results The recurrence rate was not statistically significant between the two groups(P>0.05).The postoperative breast cosmetic effect of OBCS was superior to that of the traditional operation group,and the difference was statistically significant(P<0.05). Conclusion OBCS is a safe and effective procedure for Granulomatous lobular mastitis patients.
Objective To assess the feasibility and cosmetic effect of oncoplastic breast-conserving surgery(OBCS) in the treatment of Granulomatous lobular mastitis. Methods Patients with Granulomatous lobular mastitis who received traditional surgery and OBCS in Yuebei People.s Hospital of Shaoguan from January 2013 to December 2017 were collected. The recurrence rate and postoperative breast cosmetic effect of the two groups were compared. Results The recurrence rate was not statistically significant between the two groups(P>0.05).The postoperative breast cosmetic effect of OBCS was superior to that of the traditional operation group,and the difference was statistically significant(P<0.05). Conclusion OBCS is a safe and effective procedure for Granulomatous lobular mastitis patients.
引文
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[7]Raj N,Macmillan RD,Ellis IO,et al.Rheumatologists and breasts:immunosuppressive therapy for granulomatous mastitis[J].Rheumatology(Oxford),2004,43(8):1055-1056.
[8]Akbulut S,Yilmaz D,Bakir S.Methotrexate in the management of idiopathic granulomatous mastitis:review of 108 published cases and report of four cases[J].Breast J,2011,17(6):661-668.
[9]于海静,王颀,杨剑敏,等.肉芽肿性乳腺炎的临床病理特征及其综合治疗[J].中华乳腺病杂志_电子版,2013,7(3):20-23.
[10]Yabano g lu H,?olako g lu T,Belli S,et al.A Comparative Study of Conservative versus Surgical Treatment Protocols for 77Patients with Idiopathic Granulomatous Mastitis[J].Breast J,201,5 21(4):363-369.
[11]Karanlik H,Ozgur I,Simsek S,et al.Can Steroids plus Surgery Become a First-Line Treatment of Idiopathic Granulomatous Mastitis[J]?Breast care,2014,9(5):338-342.
[12]于芷晗,常铁君,曲岩,等.整形外科技术在早期乳腺癌保乳手术中的临床应用[J].医学与哲学,2016,37(2B):52-76.
[2]Gautier N,Lalonde L,Tran-Thanh D,et al.Chronic granulomatous mastitis:Imaging,pathology and managemen[J].Eur J Radiol,2013,82(4):e165-175.
[3]Hovanessian LLJ,Peyvandi B,Klipfel N,et al.Granulomatous lobular mastitis:imaging,diagnosis,and treatment[J].Am JRoentgenol,2009,193(2):574-581.
[4]Kessler E,Wolloch Y.Granulomatous mastitis:a lesion clinically simulating carcinoma[J].Am J Clin Pathol,1973,58(6):642-646.
[5]Altintoprak F,Kivilcim T,Ozkan OV,et al.Aetiology of idiopathic granulomatous mastitis[J].World J Clin Cases,2014,2(12):852-858.
[6]闵三旭,郎荣剐,傅西林,等.89例肉芽肿性乳腺炎的临床病理学特征分析[J/CD].中华乳腺病杂志电子版,2013,7(3):168-173.
[7]Raj N,Macmillan RD,Ellis IO,et al.Rheumatologists and breasts:immunosuppressive therapy for granulomatous mastitis[J].Rheumatology(Oxford),2004,43(8):1055-1056.
[8]Akbulut S,Yilmaz D,Bakir S.Methotrexate in the management of idiopathic granulomatous mastitis:review of 108 published cases and report of four cases[J].Breast J,2011,17(6):661-668.
[9]于海静,王颀,杨剑敏,等.肉芽肿性乳腺炎的临床病理特征及其综合治疗[J].中华乳腺病杂志_电子版,2013,7(3):20-23.
[10]Yabano g lu H,?olako g lu T,Belli S,et al.A Comparative Study of Conservative versus Surgical Treatment Protocols for 77Patients with Idiopathic Granulomatous Mastitis[J].Breast J,201,5 21(4):363-369.
[11]Karanlik H,Ozgur I,Simsek S,et al.Can Steroids plus Surgery Become a First-Line Treatment of Idiopathic Granulomatous Mastitis[J]?Breast care,2014,9(5):338-342.
[12]于芷晗,常铁君,曲岩,等.整形外科技术在早期乳腺癌保乳手术中的临床应用[J].医学与哲学,2016,37(2B):52-76.