小切口手术联合可调节负压治疗非哺乳期乳腺炎的临床疗效

　　摘   要：目的  研究小切口手术联合可调节负压治疗在非哺乳期乳腺炎治疗中的疗效。 方法  选择随州市妇幼保健院2015年11月～2016年11月收治的非哺乳期乳腺癌患者86例，按照随机分为对照组与研究组，各43例。对照组采用小切口手术治疗，研究组采用小切口手术联合可调节负压治疗，比较两组患者的临床疗效与手术各项指标。 结果  研究组临床总有效率93.02%，高于对照组65.12%，差异有统计学意义（P<0.05）。研究组手术各项指标均优于对照组，差异有统计学意义（P<0.05）。研究组术后满意度95.35%，优于对照组69.77%，差异有统计学意义（P<0.05）。结论  通过对非哺乳期乳腺炎患者实施小切口手术联合可调节负压治疗，有效缓解临床症状。
　　关键词：小切口手术;可调节负压;非哺乳期乳腺炎
　　中图分类号：R655.8                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2018.05.041
　　文章编号：1006-1959（2018）05-0118-02
　　Clinical Effect of Small Incision Operation Combined with Adjustable Negative Pressure in the Treatment of Non-lactation Mastitis
　　ZHANG Yong
　　（Department of General Surgery，Suizhou Maternal and Child Health Hospital，Suizhou 441300，Hubei，China）
　　Abstract：Objective  To study the efficacy of small incision operation combined with adjustable negative pressure in the treatment of non-lactation mastitis.Methods  86 patients with non-lactation breast cancer were selected from November 2015 to November 2016 in Suizhou maternal and child health hospital and randomly divided into control group and study group，43 cases each.The control group was treated with small incision operation，while the study group was treated with small incision operation combined with adjustable negative pressure，the clinical efficacy and surgical indexes between the two groups was compared.Results  The total clinical effective rate of the study group was 93.02%，which was higher than that of the control group 65.12%，the difference was statistically significant（P<0.05）.All the indexes of the study group were better than those of the control group，and the difference was statistically significant（P<0.05）.The degree of postoperative satisfaction in the study group was 95.35%，which was better than that of the control group 69.77%，and the difference was statistically significant（P<0.05）.Conclusion  The clinical symptoms can be effectively alleviated by small incision operation combined with adjustable negative pressure therapy for the patients with non-lactation mastitis.
　　Key words：Small incision operation;Adjustable negative pressure;Non-lactation mastitis
　　乳腺炎屬于临床女性常见疾病，病因是由于乳汁淤积而导致的细菌感染，患者由于乳汁过多，排乳不畅，乳汁会造成淤积成块[1]。而非哺乳期乳腺炎是指患者在非妊娠期、非哺乳期的慢性乳腺炎症疾病，临床上病程较长，治疗时间较为漫长[2]。发病时严重影响患者生活，降低生活质量。可通过B超检查发现肿块，或细针穿刺活检抽的脓液。临床治疗为在手术中切除病变组织，再通过药物治疗。因此本文研究小切口手术联合可调节负压治疗在非哺乳期乳腺炎中的治疗，现将结果报道如下。

相关热词搜索：乳腺炎 哺乳期 疗效 可调节 临床