乳腺慢性化脓性炎症患者的外科治疗效果观察
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摘要
目的:分析乳腺慢性化脓性炎症患者应用外科手术治疗的效果。方法:选取2015年2月-2018年2月本院收治的92例乳腺慢性化脓性炎症患者。按照肿块的直径大小将其分为研究组(肿块直径6 cm以上)和参照组(肿块直径为3～6 cm),各46例。参照组采取乳腺脓肿的切开引流术治疗,研究组采取乳腺区段的切除手术治疗。比较两组治疗效果、不良反应、手术时间、住院时间以及术中出血量。结果:研究组手术时间长于参照组,术中出血量多于参照组,住院时间短于参照组,比较差异均有统计学意义(P<0.05);研究组总有效率为95.65%,高于参照组的76.09%(P<0.05);研究组不良反应发生率低于参照组(P<0.05)。结论:在乳腺慢性化脓性炎症患者治疗中应用乳腺区段的切除手术能够缩短患者住院时间,降低不良反应发生率,提高患者临床治疗的有效性,值得应用。
Objective:To analyze the effect of surgical treatment of chronic suppurative inflammation of breast.Method:A total of 92 patients with chronic suppurative inflammation of breast admitted to our hospital from February 2015 to February 2018 were selected.According to the size of the tumors,they were divided into study group(the diameter of the tumors was more than 6 cm)and control group(the diameter of the tumors was 3-6 cm),46 cases in each group.The control group was treated by incision and drainage of breast abscess,while study group was treated by excision of breast segment.The therapeutic effect,adverse reactions,operation time,hospitalization time and intraoperative bleeding volume between two groups were compared.Result:The operation time of study group was longer than that of study group,the intraoperative bleeding volume was more than that of study group,and the hospitalization time was shorter than that of study group,the differences were statistically significant(P<0.05).The total effective rate was 95.65% in study group,which was higher than 76.09% in control group(P<0.05).The incidence of adverse reactions in study group was lower than that of control group(P<0.05).Conclusion:In treatment of patients with chronic suppurative inflammation of breast,the application of breast segment resection can shorten the hospital stay,reduce the incidence of adverse reactions,and improve the effectiveness of clinical treatment of patients,which is worthy of application.
Objective:To analyze the effect of surgical treatment of chronic suppurative inflammation of breast.Method:A total of 92 patients with chronic suppurative inflammation of breast admitted to our hospital from February 2015 to February 2018 were selected.According to the size of the tumors,they were divided into study group(the diameter of the tumors was more than 6 cm)and control group(the diameter of the tumors was 3-6 cm),46 cases in each group.The control group was treated by incision and drainage of breast abscess,while study group was treated by excision of breast segment.The therapeutic effect,adverse reactions,operation time,hospitalization time and intraoperative bleeding volume between two groups were compared.Result:The operation time of study group was longer than that of study group,the intraoperative bleeding volume was more than that of study group,and the hospitalization time was shorter than that of study group,the differences were statistically significant(P<0.05).The total effective rate was 95.65% in study group,which was higher than 76.09% in control group(P<0.05).The incidence of adverse reactions in study group was lower than that of control group(P<0.05).Conclusion:In treatment of patients with chronic suppurative inflammation of breast,the application of breast segment resection can shorten the hospital stay,reduce the incidence of adverse reactions,and improve the effectiveness of clinical treatment of patients,which is worthy of application.
引文
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[17]成正军,罗亚,郑乃国,等.改良挂线术治疗36例乳腺导管瘘的临床应用探讨[J].现代医药卫生,2014,30(4):507-508,510.
[18]罗扬,徐兵河,李青,等.乳腺外实体瘤乳腺转移患者的临床病理特征和预后[J].中华肿瘤杂志,2014,36(6):453-456.
[19]王中博.光电离子乳腺病治疗仪治疗肋软骨炎的疗效观察[J/OL].临床医药文献电子杂志,2015,2(17):3456.
[20]黄军.乳腺导管镜治疗乳头溢液疾病的效果观察[J].中国医疗器械信息,2017,23(23):70-71.
[2]周芳,王慧斌,肖华,等.观察乳管内冲洗配合中药口服治疗乳腺导管炎乳头溢液的疗效[J/OL].实用妇科内分泌杂志(电子版),2016,3(4):134,136.
[3]徐婷,赵阳,张淑群,等.泼尼松龙治疗乳腺肉芽肿性小叶炎的临床疗效[J].现代肿瘤医学,2017,25(9):1398-1401.
[4]刘岩松,李娟,李莹杰,等.糖皮质激素在乳腺肉芽肿性小叶炎治疗中应用时机的探讨[J].中国医师进修杂志,2015,38(11):830-833.
[5]徐琳,汪登斌,王丽君,等.MR-DWI对非哺乳期乳腺炎与非肿块强化乳腺恶性肿瘤的鉴别诊断[J].放射学实践,2014,21(10):1108-1111.
[6]张董晓,黄巧,赵相坤,等.乳管冲洗配合中药治疗乳腺导管炎32例[J].中医外治杂志,2014,23(3):15-16.
[7]殷一飞,高娟,张杏,等.超声弹性成像技术联合麦默通在治疗乳腺良性肿块中的应用[J].东南大学学报(医学版),2016,35(6):993-995.
[8]叶玉梅,秦士新,周坤.乳腺脓肿治疗的可行性研究[J].重庆医学,2015,44(11):1551-1552.
[9]欧柳菁.乳管镜冲洗治疗乳腺增生疗效观察及乳管炎与乳腺增生相关性研究[J].中国保健营养,2017,27(28):148.
[10]梁建雄,陈璐,李捷飞.纤维乳腺导管内窥镜在乳腺导管占位性病变治疗中的应用研究[J].广西医学,2015,37(7):1008-1009,1012.
[11]刘晓,桑晓旻,刘红,等.采用保留乳腺方式治疗副乳腺癌的临床分析[J].中国肿瘤临床,2014,41(7):453-455.
[12]王丽君,汪登斌,李志,等.特发性肉芽肿性小叶乳腺炎的影像特点与鉴别诊断[J].国际医学放射学杂志,2014,37(1):18-21.
[13]孟锦,吴昊.乳腺钼靶与MRI检查对炎性乳腺癌的诊断价值探析[J].大家健康(中旬版),2017,11(6):167.
[14]雷雯,林庆中.乳腺导管镜在乳头溢液微创诊断和治疗中的应用价值[J].微创医学,2015,10(4):499-501.
[15]李侠,杨红华.针吸细胞学诊断小叶性肉芽肿性乳腺炎探讨[J].医药前沿,2018,8(4):183-184.
[16]温健,李子豪,曲文志,等.乳管镜对乳管内非占位性病变治疗价值研究[J].临床军医杂志,2017,45(5):511-513.
[17]成正军,罗亚,郑乃国,等.改良挂线术治疗36例乳腺导管瘘的临床应用探讨[J].现代医药卫生,2014,30(4):507-508,510.
[18]罗扬,徐兵河,李青,等.乳腺外实体瘤乳腺转移患者的临床病理特征和预后[J].中华肿瘤杂志,2014,36(6):453-456.
[19]王中博.光电离子乳腺病治疗仪治疗肋软骨炎的疗效观察[J/OL].临床医药文献电子杂志,2015,2(17):3456.
[20]黄军.乳腺导管镜治疗乳头溢液疾病的效果观察[J].中国医疗器械信息,2017,23(23):70-71.