单中心保乳手术治疗乳腺结核60例分析

目的：总结单中心60例乳腺结核患者接受保乳手术治疗的病历资料和中期随访结果，探讨保乳手术治疗乳腺结核的安全性、有效性和彻底性。方法：回顾性分析本院2006年1月-2013年2月保乳手术治疗60例乳腺结核患者的临床资料。结果：60例患者手术顺利，无严重并发症，围手术期无死亡病例。手术时间120～180rain，平均146min；术中出血20—300ml，平均60ml，术中输血4例；术后拔管前总引流量150～320ml，平均210ml；拔管时间4-9d，平均5．5d；52例患者手术切M均I期愈合，有8例患者人院前外院行脓肿切开引流，切口局部愈合欠佳，出院后门诊换药均Ⅱ期愈合。所有病例皮肤均无缺血坏死，患乳外形良好，随访12～24个月，术后局部复发3例，经切口换药后治愈，无明显并发症，术后无明显疼痛。结论：保乳手术治疗乳腺结核是一种安全、有效的手术方式。

Breast-conserving Surgery in the Treatment of Breast Tuberculosis:A Single Center Study of 60 Cases

Objective： To summarize 60 cases of breast tuberculosis that had accepted breast-conserving surgery, report the mid-term follow- up results, and evaluate the safety and effectiveness of breast-conserving surgery.Method ： Clinical data of 60 patients which had accepted breast- conserving surgery treatment of breast tuberculosis in our hospital from January 2006 to February 2013 were retrospectively analysed. Result： All 60 procedures were carried out smoothly without serious complication, no deaths in the perioperative period.The surgical duration was 120-180 min, the average was 146 min, and intraoperative blood loss was 20-300 ml, the average was 60 ml, 4 cases were transfusion of blood, total postoperative drainage volume was 150-320 ml, the average was 210 ml, the postoperative tube drainage duration was 4-9 days, the median was 5.5 days, 52 patients with surgical incision I healing, eight patients abscess incision drainaged before admission, that wound was healed poor, dressing changed in clinic service, and phase Ⅱ healing.There were no skin ischemic necrosis of all cases, breast appearance were fine, followed-up 12-24 months, 3 cases were local relapse postoperative, and were cured after dressing change, no complications and serious pain.Conclusion： Breast-conserving surgery is a safe and effctive procedure for patients with breast tuberculosis,