Efficacy and Safety of Regional Mastectomy Combined with Gland Shaping and Continuous Negative Pressure Perfusion in the Treatment of Plasma Cell Mastitis with Nipple Retraction
XU Anwen, XIE Quan, LI Ting, et al
Haikou People's Hospital, Hainan Haikou 570208, China
Abstract：Objective: To analyze the efficacy and safety of regional mastectomy combined with gland shaping and continuous negative pressure perfusion in the treatment of plasma cell mastitis (PCM) with nipple retraction. Methods: The clinical data of 112 PCM patients with nipple retraction in our hospital were retrospectively analyzed. Among them, 54 patients underwent regional mastectomy+gland shaping (control group), and 58 patients received regional mastectomy + gland shaping combined with continuous negative pressure perfusion (observation group). The clinical efficacy, postoperative recovery and occurrence of postoperative complications were recorded in the two groups, and the differences in postoperative breast pain and breast cosmetic effect were compared between the two groups. Results: Both groups were cured after operation. The times of dressing change, wound healing time, hospitalization time, healing time and the total incidence of postoperative complications in the observation group were lower than those in the control group (P<0.05), and the postoperative breast pain grade in the observation group was lower than that in the control group (P<0.05). There was no significant difference between the two groups (P>0.05). Conclusion: Regional mastectomy + gland shaping combined with continuous negative pressure perfusion has a good efficacy and few complications in the treatment of PCM, and it has a positive effect in promoting the postoperative rehabilitation of patients.
许安文, 谢权, 李婷, 耿金秀. 乳腺区切除术结合腺体成型及持续负压灌流技术治疗浆细胞性乳腺炎合并乳头内陷的疗效及安全性分析[J]. 河北医学, 2021, 27(7): 1157-1160.
XU Anwen, XIE Quan, LI Ting, et al. Efficacy and Safety of Regional Mastectomy Combined with Gland Shaping and Continuous Negative Pressure Perfusion in the Treatment of Plasma Cell Mastitis with Nipple Retraction. HeBei Med, 2021, 27(7): 1157-1160.
[1] 徐子杭,姜珏,王理蓉,等.高频超声诊断浆细胞性乳腺炎的价值[J].中华实用诊断与治疗杂志,2019,33(1):69~71. [2] 郜朝霞,邵力伟,陈春洲.小金胶囊配合手术治疗瘘管期浆细胞性乳腺炎的疗效观察[J].世界中医药,2018,13(3):655~657,661. [3] 沈爱玲,肖献秋.浆细胞性乳腺炎19例诊治分析[J].人民军医,2018,61(3):258~260. [4] 张卫红,李甜,王冰.Ⅰ期腺体瓣转移乳房成形术治疗肉芽肿性乳腺炎临床体会[J].辽宁中医杂志,2018,45(4):753~756. [5] 何柳,廖明娟,蔡彦韬,等.浆乳方联合乳房成形术及持续负压灌洗技术治疗难治性浆细胞性乳腺炎[J].组织工程与重建外科杂志,2019,15(3):171~175. [6] 周杰,陈周.持续封闭负压引流术治疗浆细胞性乳腺炎43例[J].中国现代普通外科进展,2018,21(9):739~740. [7] 王勇,董江萌,贾巍.微创旋切术联合西黄丸治疗急性脓肿型乳腺炎对术后创面恢复,切口感染及乳晕血肿的影响[J].现代中西医结合杂志,2019,28(35):51~55. [8] 黄欢,周毅.手术方式的改进在加快治疗浆细胞性乳腺炎中的研究[J].哈尔滨医科大学学报,2018,52(6):554~557. [9] Saied G M,Moustafa K G.Satisfactorily responds to antituberculous treatment: surgery has no role in the management of tuberculous mastitis in Egyptian women population.A sample study[J].Breast,2019,25(2):328~330. [10] 雷海.完整解剖区段切除术联合腺体瓣整复术在非哺乳期乳腺炎中的应用研究[J].中国现代手术学杂志,2020,24(3):166~169. [11] Rui F,Weiwei L,Bing Y,et al.A modified inverted nipple correction technique that preserves breastfeeding[J].Aesthet Surg,2018,39(2):165~175. [12] 孙岩峰,李玉胜,王永,等.肉芽肿性乳腺炎不同手术方式的疗效比较[J].安徽医学,2018,39(1):72~74. [13] Wolfrum A,Kummel Sherko,Theuerkauf I,et al.Granulomatous Mastitis: A Therapeutic and Diagnostic Challenge[J].Breast Care,2018,13(6):413~418. [14] 薛静娴,曹思涵,唐甜,等.疮灵液外治对浆细胞性乳腺炎肿块的影响[J].中国中西医结合杂志,2020,40(4):418~421. [15] Patani N,Macaskill F,Eshelby S,et al.Best-practice care pathway for improving management of mastitis and breast abscess[J].Brit Surg,2018,105(12):1615~1622.
2021, Vol. 27 
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