非哺乳期乳腺炎微创手术与综合治疗的临床研究

目的：探讨非哺乳期乳腺炎的微创手术及综合治疗办法。方法：选取2006年-2009年本院就珍的非哺乳期乳腺炎病例80例，随机分组。炎性包块型组：①局部切除＋灌洗组；②局部切除＋灌洗＋拿身用药组；③局部切除＋灌洗＋局部封闭组；④局部切除＋灌洗＋局部封闭组＋全身用药组；脓肿型组：①局部搔剐＋灌洗组；②局部搔刮＋灌洗＋全身治疗组；③局部搔刮＋灌洗＋局部封闭组；④局部搔刮＋灌洗＋局部封闭组十全身用药组。随访时间6个月～2年。结果：除了综合治疗组（局部切除或搔刮＋灌沈＋局部封闭组＋全身用药）没有复发，其余各组均有复发（平均复发率23．3％）。结论：综合治疗非哺乳性乳腺炎效果好，值得临床推广应用。

Clinical Study of Minimally Invasive Surgery and Combined Therapy for Nonlactating Mastitis

Objective To investigate non-lactating mastitis treated with minimally invasive surgery and comprehensive treatment. Methods 80 cases of non-lactation mastitis were selected from 2006 to 2009 in our hospital and randomly divided into eight groups. Inflammatory mass-based groups： ①local resection ＋ lavage group, ② local resection ＋ lavage ＋ systemic treatment group; ③local resection ＋ lavage ＋ local injection treatment group, ④ local resection ＋ lavage ＋ local injection ＋ systemic treatment group; abscess type groups： ① local scratch ＋ lavage group; ② local scratch ＋ lavage ＋ systemic treatment group; ③ local scratch ＋ lavage ＋ local injection group, ④ local scratch ＋ lavage ＋ local injection ＋ systemic treatment group. Followed up for 6 months-2 years. Results Except the combination therapy group （local resection or local scratch ＋ lavage ＋ local injection ＋ systemic medication） had not recurrence, other groups had recurrence （average recurrence rate was 23.3%）. Oonolusion Combination treatment of non-lactating mastitis is efficient.