Breast Disease Prevention and Treatment Centre, Haidian Maternal and Child Health Hospital, Haidian District Suzhou Street No. 53, Beijing, 100080, China.
Breast Centre, Amcare Women's and Children's Hospital, Beijing, China.
Sci Rep. 2021 Feb 11;11(1):3625. doi: 10.1038/s41598-021-83172-6.
Treatment strategies for nipple injury are mainly based on aetiology. However, some damaged nipples do not heal after the aetiology was corrected. This study retrospectively analyses the effect of debridement for treating chronic injury of lactating nipples. The medical records on nipple injury management in the authors' department from December 2015 to January 2020 were retrospectively analysed. A total of 167 patients were enrolled and grouped based on the presence or absence of nipple debridement. The difference in the healing effect, pain relief rate and recurrence rate of nipple injury between the two groups after 1 week was examined. The cure rate of nipple injury in the intervention group (54.3%) was significantly higher than in the control group (26.7%). In addition, the complete pain relief rate in the intervention group (48.1%) was significantly higher than in the control group (23.3%). However, the recurrence rates between the two groups (36.4% (16/44) vs. 34.8% (8/23)) had no statistically significant differences. For patients with no improvement after correction of the aetiology of the in the nipple damage, debridement can improve the healing environment of nipple breakage and thus relieve nipple pain.
乳头损伤的治疗策略主要基于病因。然而，一些受损的乳头在病因纠正后仍未愈合。本研究回顾性分析了清创术治疗哺乳期乳头慢性损伤的效果。回顾性分析了作者所在部门 2015 年 12 月至 2020 年 1 月的乳头损伤管理病历。共纳入 167 例患者，并根据是否进行乳头清创术进行分组。比较两组患者治疗 1 周后愈合效果、疼痛缓解率和乳头损伤复发率的差异。干预组（54.3%）乳头损伤的治愈率明显高于对照组（26.7%）。此外，干预组完全缓解疼痛的比例（48.1%）明显高于对照组（23.3%）。然而，两组的复发率（36.4%（16/44）比 34.8%（8/23））无统计学差异。对于病因纠正后乳头损伤无改善的患者，清创术可以改善乳头破裂的愈合环境，从而缓解乳头疼痛。
