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乳腺导管探查联合病灶切除术治疗肉芽肿性小叶性乳腺炎的疗效

Treatment Effect of Mammary Duct Exploration Combined with Focal Resection on Granulomatous Lobular Mastitis.

作者信息

Zuo Ximeng, Shi Xiaoguang, Gao Xiang, Lai Rui, Liu Pengzhou, Zhao Ze

机构信息

Department of General Surgery, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, People's Republic of China.

出版信息

J Inflamm Res. 2021 Jun 21;14:2641-2646. doi: 10.2147/JIR.S309101. eCollection 2021.

DOI:10.2147/JIR.S309101
PMID:34188514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8232890/
Abstract

OBJECTIVE

This study aims to summarize the treatment of granulomatous lobular mastitis with a low recurrence rate and high satisfaction rate.

METHODS

In this study, the epidemiology and treatment effect was analyzed based on the general data and treatment effects. Patients treated for granulomatous lobular mastitis at the Dongzhimen Hospital, Beijing University of Chinese Medicine, and Beijing Contemporary Hospital from October 24, 2016, to May 8, 2019, were selected as subjects for the study.

RESULTS

The results revealed that the common features of granulomatous lobular mastitis were nipple retraction, history of induced abortion, nipple discharge, history of thyroid disease, history of lactation mastitis, and mental illness. The cure rate of the disease was 100%, the recurrence rate was 0.38%, and the patient satisfaction rate was 97.71%.

CONCLUSION

The combination of mammary duct exploration and focal resection has a positive effect on the treatment of this disease and is worthy of clinical popularization.

摘要

目的

本研究旨在总结肉芽肿性小叶性乳腺炎的治疗方法,以实现低复发率和高满意率。

方法

在本研究中,基于一般资料和治疗效果分析了流行病学及治疗效果。选取2016年10月24日至2019年5月8日在北京中医药大学东直门医院及北京当代医院接受肉芽肿性小叶性乳腺炎治疗的患者作为研究对象。

结果

结果显示,肉芽肿性小叶性乳腺炎的常见特征为乳头凹陷、人工流产史、乳头溢液、甲状腺疾病史、哺乳期乳腺炎病史及精神疾病史。该疾病的治愈率为100%,复发率为0.38%,患者满意率为97.71%。

结论

乳腺导管探查联合病灶切除术对本病治疗有积极作用,值得临床推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f23b/8232890/895c5b6c2cea/JIR-14-2641-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f23b/8232890/f257728c2d5f/JIR-14-2641-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f23b/8232890/895c5b6c2cea/JIR-14-2641-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f23b/8232890/f257728c2d5f/JIR-14-2641-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f23b/8232890/895c5b6c2cea/JIR-14-2641-g0002.jpg

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Surgery. 2019 Dec;166(6):1176-1180. doi: 10.1016/j.surg.2019.06.030. Epub 2019 Aug 8.
2
Granulomatous lobular mastitis-Another paradigm shift in treatment.肉芽肿性小叶性乳腺炎——治疗中的又一次范式转变。
Breast J. 2019 Jul;25(4):790-791. doi: 10.1111/tbj.13338. Epub 2019 May 20.
3
[Granulomatous lobular mastitis: a clinicopathological analysis of 300 cases].[肉芽肿性小叶性乳腺炎:300例临床病理分析]
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Diagnosis and Treatment of 75 Patients with Idiopathic Lobular Granulomatous Mastitis.75例特发性小叶性肉芽肿性乳腺炎的诊断与治疗
J Invest Surg. 2019 Aug;32(5):414-420. doi: 10.1080/08941939.2018.1424270. Epub 2018 Jan 30.
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