分次手术治疗非哺乳期乳腺炎的临床疗效观察

doi:10.16139/j.1007-9610.2024.05.13

摘要/Abstract

摘要：

目的：探讨分次手术治疗非哺乳期乳腺炎的临床疗效。方法：回顾分析2015年1月至2020年12月我院收治的非哺乳期乳腺炎病人317例，均采用分次手术治疗，观察痊愈时间、复发率以及乳房外形评分。结果：中位随访时间为24(17，33)个月，痊愈时间为(25.5±17.9) d，复发率为4.4%，96.2%的病人对乳房外形较为满意。结论：分次手术治疗非哺乳期乳腺炎，可有效缩短病程、保护乳房外形，具有很好的临床疗效。

关键词: 分次手术, 非哺乳期乳腺炎, 痊愈时间, 复发率

Abstract:

Objective To explore the clinical efficacy of staged surgery for non-lactating mastitis. Methods A retrospective analysis was conducted on 317 patients with non-lactating mastitis admitted to our department from January 2015 to December 2020, all of whom underwent staged surgical treatment. The recovery time, recurrence rate, and breast appearance score were observed. Results The median follow-up time was 24(17，33) months, the recovery time was (25.5±17.9) days, and the recurrence rate was 4.4%. There were 96.2% of patients satisfied with the breast appearance. Conclusions Staged surgery for non-lactating mastitis can effectively shorten the course of the disease, protect the appearance of breast, and have good clinical efficacy.

Key words: Staged surgery, Non-lactating mastitis, Recovery time, Recurrence rate

中图分类号:

R655.8

瞿文超, 万华, 吴雪卿, 冯佳梅, 谢璐, 高晴倩, 邵士珺, 孙佳晔. 分次手术治疗非哺乳期乳腺炎的临床疗效观察[J]. 外科理论与实践, 2024, 29(05): 446-451.

QU Wenchao, WAN Hua, WU Xueqing, FENG Jiamei, XIE Lu, GAO Qingqian, SHAO Shijun, SUN Jiaye. Clinical observation on the efficacy of non-lactating mastitis treated with staged surgery[J]. Journal of Surgery Concepts & Practice, 2024, 29(05): 446-451.

图/表 3

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Symptoms and signs	Degree	Number
Nipple inversion	Yes	153(48.3)
Nipple inversion	No	164(51.7)
Lesion scope	1 quadrant	124(39.1)
	2 quadrant	127(40.1)
	≥3 quadrant	66(20.8)
Skin discolorization	No	80(25.2)
	1 quadrant	113(35.6)
	2 quadrant	94(29.7)
	≥3 quadrant	30(9.5)
Abscess formation	No	21(6.6)
	Unruptured	163(51.4)
	Ruptured	124(39.1)
	Repeated rupture	9(2.8)
Sinus formation	No	184(58.0)
	1 sinus	107(33.8)
	2 sinus	17(5.4)
	3 sinus	9(2.8)
Pain	No	34(10.7)
Pain	Yes	283(89.3)
Stage	Lump stage	25(7.9)
	Abscess stage	161(50.8)
	Fistula stage	131(41.3)
Erythema nodosum	No	301(95.0)
Erythema nodosum	Yes	16(5.0)

Factors	Standardization coefficient β	t value	P value
Age	0.034	0.822	0.412
Postoperative time	0.265	6.24	0.001
Healing time	0.012	0.291	0.771
Lesion scope	0.009	0.185	0.853
Number of sinus	-0.668	-15.976	0.001
Recurrence	-0.066	-1.57	0.117