目的

探讨并总结非哺乳期乳腺炎的外科手术方法。

方法

回顾性分析2011 年10 月至2012 年10 月在北京天宜乳腺医院和北京朝阳区妇幼保健院接受手术治疗的100 例非哺乳期乳腺炎患者的临床资料,并结合文献进行讨论。

结果

本组100 例患者经手术治疗均获临床治愈,其中12 例行瘘管切除术,40 例行病灶区段切除术,47 例行病灶切除+“随意皮瓣”转移术,1 例行单纯乳房切除术。 全组病例随访1 个月至1 年,中位随访时间为6.5 个月,复发2 例(2%,2/100),经2 次手术切除复发病灶后皆愈合良好。

结论

手术是治疗非哺乳期乳腺炎的有效手段。 手术的关键在于彻底清除炎性病灶。术中应用“随意皮瓣”转移技术能够达到较好的美容效果,是一种可以试用于非哺乳期乳腺炎的技术。

Objective

To explore the surgical treatment of non-lactational mastitis.

Methods

We retrospectively analyzed 100 non-lactational mastitis patients receiving surgery in Beijing Tianyi Breast Hospital and Beijing Chaoyang District Maternal and Child Health Hospital and reviewed relevant literature.

Results

All the patient were recovered after surgical treatment without complications, among which 12 cases underwent fistulectomy,40 cases underwent segmental mastectomy,47 cases underwent segmental mastectomy plus random pattern skin flap reconstruction,and 1 case underwent mastectomy. The patients were followed up for 1-12 months, median 6.5 months. Two patients had recurrences(2%,2/100),who were treated with surgical resection of recurred lesions and recovered well.

Conclusions

Surgery is effective for non-lactational mastitis.The key point for the operation lies in radical debridement of inflammatory lesions. Furthermore, the reconstruction with random pattern skin flap can achieve better cosmetic effect and have potential application in treatment of non-lactational mastitis.