目的

探讨乳腺导管探查术对乳汁淤积的治疗效果。

方法

选取2009 年1 月至2012 年9 月在本院诊断为乳汁淤积且乳腺物理治疗失败的患者280 例,将其分为两组: 研究组106 例,改用乳腺导管探查术治疗;对照组174 例,继续采用乳腺物理综合治疗。 采用χ² 检验统计分析两种方法治疗乳汁淤积的效果。

结果

研究组和对照组的一次治愈率分别为51.9%(55/106)和16.7%(29/174),两组比较差异有统计学意义(χ²=38.910,P=0.000)。 研究组和对照组的治疗有效率分别为89.6%(95/106)和68.4%(119/174),两组比较差异也有统计学意义(χ²=16.483,P=0.000)。 研究组中15 例复发,对照组25 例,两者比较差异无统计学意义(χ²=0.003,P=0.960)。

结论

乳腺导管探查治疗乳汁淤积,效果明显,值得推广。

Objective

To investigate the efficacy of the breast ductal exploration in treatment of galactostasis.

Methods

A total of 280 patients who were diagnosed with breast galactostasis and whose physical treatment turned out to be a failure in our hospital from January 2009 to September 2012 were enrolled in this study. They were divided into two groups: the experimental group (106 patients received ductal exploration) and the control group (174 patients continued physical treatment). χ² test was used to analyze the difference of treatment effect in 2 groups.

Results

The cure rates after one time treatment were 51.9% (55/106) in the experimental group and 16.7% (29/174) in the control group, and the difference was statistically significant (χ²=38.910, P=0.000). Effective rates were 89.6% (95/106) in the experimental group and 68.4% (119/174) in the control group, and the difference was statistically significant (χ² =16.483, P=0.000). There were 15 patients with recurrence in the experimental group and 25 in the control group, which indicated no statistically significant difference between two groups (χ²=0.003, P=0.960).

Conclusion

The breast ductal exploration is effective in galactostasis patients, which is worthy of being widely applied in clinic.