肉芽肿性小叶性乳腺炎的微创综合治疗
Minimally invasive comprehensive treatment for granulomatous lobular mastitis.
作者信息
Wang Yaohuai, Song Junlong, Tu Yi, Chen Chuang, Sun Shengrong
机构信息
Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, No. 238 Jiefang Road, No.99 Zhang Road, Wuchang District, Wuhan, 430060, China.
出版信息
BMC Surg. 2020 Feb 22;20(1):34. doi: 10.1186/s12893-020-00696-w.
OBJECTIVE
To describe a minimally invasive comprehensive treatment for granulomatous lobular mastitis (GLM) and compare its effect with the existing methods, particularly in terms of its recurrence rate and esthetic outcomes.
METHODS
This retrospective study reviewed 69 GLM patients receiving the minimally invasive comprehensive treatment. Patients' information, including age, clinical features, image characteristics, histopathological findings, mastitis history, treatment process, operative technique, recurrence, and esthetic effect, was evaluated.
RESULTS
All patients were female with a median age of 32 (range 17-55) years. Hospital stays ranged from 2 to 34 days, with a median of 6 days. The shortest time for complete rehabilitation was 2 days and the longest time was 365 days, with a median of 30 days. After a median follow-up of 391 days (range 162-690), 7 patients (10.14%) relapsed. The average cosmetic score was 2.62 ± 0.57 points and was mainly related to the past treatment, especially the surgical history.
CONCLUSION
Minimally invasive comprehensive treatment is a new method for the treatment of GLM, ensuring a therapeutic effect while maintaining breast beauty.
目的
描述肉芽肿性小叶性乳腺炎（GLM）的微创综合治疗方法，并将其效果与现有方法进行比较，特别是在复发率和美学效果方面。
方法
这项回顾性研究对69例接受微创综合治疗的GLM患者进行了评估。评估了患者的信息，包括年龄、临床特征、影像特征、组织病理学发现、乳腺炎病史、治疗过程、手术技术、复发情况和美学效果。
结果
所有患者均为女性，中位年龄32岁（范围17 - 55岁）。住院时间为2至34天，中位时间为6天。完全康复的最短时间为2天，最长时间为365天，中位时间为30天。中位随访391天（范围162 - 690天）后，7例患者（10.14%）复发。平均美容评分为2.62 ± 0.57分，主要与既往治疗有关，尤其是手术史。
结论
微创综合治疗是治疗GLM的一种新方法，在保证治疗效果的同时保持了乳房美观。
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