不同方案治疗非哺乳期乳腺炎的 疗效分析

Therapeutic effect analysis of different regimens on non-lactating mastitis

摘要:

目的 探讨不同治疗方法对非哺乳期乳腺炎患者的临床疗效。方法 选取2015 年9 月— 2018 年9 月于福建医科大学附属第二医院晋江分院诊断为非哺乳期乳腺炎患者149 例。同时将患者分为保 守治疗组与手术治疗组、传统手术组与区段切除组，以及区段切除+ 无皮瓣转移组与区段切除+ 任意皮瓣转 移组，对不同组患者的临床疗效进行比较。结果 手术治疗组复发率低于保守治疗组（P <0.05）；区段切除 组复发率低于传统手术组（P <0.05）；区段切除+ 任意皮瓣转移组术后并发症发生率低于区段切除+ 无皮瓣 转移组（P <0.05）；区段切除+ 任意皮瓣转移组患者术后满意度高于区段切除+ 无皮瓣转移组（P <0.05）。 结论 相较于保守治疗，手术是治疗非哺乳期乳腺炎的有效手段。手术的关键在于彻底清除炎性病灶。术中 应用任意皮瓣转移技术能够达到较好的美容效果。

Abstract:

Objective To investigate and analyze the clinical efficacy of different treatments for non-lactating mastitis. Methods A retrospective analysis was made of 149 cases of non-lactating mastitis diagnosed in our hospital from September 2015 to September 2018. At the same time, patients were divided into conservative treatment group and surgical treatment group, traditional operation group and segmental resection group, and segmental resection + no flap transfer group and segmental resection + arbitrary flap transfer group. The clinical efficacy of different groups was compared. Results The recurrence rate in the surgical group was lower than that in the conservative group (P < 0.05); the recurrence rate in the segmental resection group was lower than that in the traditional operation group (P < 0.05); the incidence of complications in the segmental resection + arbitrary flap transfer group was lower than that in the segmental resection + no flap transfer group (P < 0.05); and the satisfaction in the segmental resection + arbitrary flap transfer group was higher than that in the segmental resection + no flap transfer group (P < 0.05). Conclusions Compare with conservative treatment, surgery is an effective way to treat non-lactating mastitis. The key to surgery is to remove inflammatory lesions completely. Intraoperative application of arbitrary flap transfer technology can achieve better cosmetic results.