摘要
目的 探讨改良挂线术治疗乳腺导管瘘的疗效.方法 回顾性分析2000年4月至2013年4月采用改良挂线术对36例乳腺导管瘘患者进行手术的方法及治疗情况.结果 分泌物细菌培养以葡萄球菌（12例）为主,病理检查提示慢性肉芽肿性炎（17 例）最多.挂线术后10～21 d、平均14 d橡皮筋脱落,32例病变治愈,无红肿疼痛及分泌物等任何不适.3个月至5年随访30例,均创伤小、恢复好、符合美学观,患者满意.未见乳头坏死及乳头感觉异常.结论 改良挂线术治疗乳腺导管瘘避免了传统手术带来的创伤,适应微创的发展方向.
Objective To explore the efficacy of improved thread-drawing method in treating breast duct fistula. Meth- ods Retrospective analysis of operation methods and treatment condition was conducted on 36 patients with breast duct fistula by improved thread-drawing method from April 2000 to April 2013. Results Bacteria culture from the secretion concentrated on staphylococcus （12 cases ）, and pathological examination showed that chronic granulomatous inflammation was in majority （ 17 cases）.Generally 10-21 d after thread-drawing technique with the average of 14 d,rubber band fell off and 32 cases were cured without any discomforts like swelling pain or secretion. Among 30 cases with 3 months-5 years follow-up,the surgical wound was accordance with aesthetics with small trauma and good recovery, and the patients were satisfactory. No nipple necrosis and paresthesia appeared. Conclusion The improved thread-drawing method for breast duct fistula can avoid the traditional sur- gical trauma, and it is adapted to the development direction of minimally invasive.
出处
《现代医药卫生》
2014年第4期507-508,510,共3页
Journal of Modern Medicine & Health
关键词
乳腺疾病
外科学
挂线法
瘘
外科学
橡皮筋
Breast diseases/surgery
Thread-ligating therapy
Fistula/surgery
A rubber band
