微创负压引流技术联合甲硝唑对浆细胞性乳腺炎的治疗

发布时间：2018-06-20 07:09

本文选题：浆细胞性乳腺炎 + 微创负压引流技术　；参考：《中国医学装备》2016年11期

【摘要】：目的:探讨微创负压引流技术联合甲硝唑对浆细胞性乳腺炎(PCM)的临床治疗效果。方法:选取120例浆细胞性乳腺炎患者,均为女性;年龄19~69周岁,平均年龄(36.9±1.9)岁;病程9~3年,平均(1.6±0.3)年;采用随机数表法将其分为对照组与观察组,每组60例。观察组除给予口服甲硝唑联合微创负压引流技术对其病灶区进行冲洗治疗;对照组单纯给予口服甲硝唑常规治疗;治疗后对两组患者随访6~12个月,比较两组的治疗效果、治疗时间、生活质量、乳房外形满意度以及复发情况。结果:观察组治疗总有效率为96.67%明显高于对照组,两组比较有差异(x~2=4.072,P0.05);观察组的治疗时间为7~17 d,平均(9.4±0.9)d,明显低于对照组,两组比较有差异(t=3.171,P0.05);观察组的生活质量和对乳房外形的满意度明显高于对照组,两组比较有差异(x~2=1.288,x~2=9.377,P0.05);观察组复发率为5.00%,明显低于对照组,两组比较有差异(x~2=8.467,P0.05)。结论:微创负压引流技术联合甲硝唑治疗浆细胞性乳腺炎的治疗效果好,治疗时间缩短,复发率低,且患者满意度高,值得临床推广应用。
[Abstract]:Objective: to investigate the clinical effect of minimally invasive negative pressure drainage combined with metronidazole on plasma cell mastitis (PCM). Methods: 120 patients with plasma cell mastitis were divided into control group and observation group with 60 cases in each group, with age of 1969 years, mean age of 36.9 卤1.9 years, course of disease from 9 to 3 years, mean of 1.6 卤0.3 years. The patients in the observation group were treated with oral metronidazole plus minimally invasive negative pressure drainage technique, the control group was treated with routine oral metronidazole alone, the patients in the two groups were followed up for 6 to 12 months after the treatment, and the therapeutic effects of the two groups were compared. Treatment time, quality of life, breast shape satisfaction and recurrence. Results: the total effective rate of treatment in the observation group was 96.67% significantly higher than that in the control group, and the difference between the two groups was significant (P 0.05), and the treatment time of the observation group was 70.17 days, with an average of 9.4 卤0.9 days, which was significantly lower than that of the control group. The quality of life and satisfaction with breast shape in the observation group were significantly higher than those in the control group, and there was a significant difference between the two groups, and the recurrence rate in the observation group was 5.00, which was significantly lower than that in the control group, and there was a significant difference between the two groups. Conclusion: minimally invasive negative pressure drainage combined with metronidazole in the treatment of plasma cell mastitis is effective, the treatment time is shortened, the recurrence rate is low, and the patient satisfaction is high.
【作者单位】：石家庄市妇幼保健院乳腺科;
【基金】：石家庄市科学研究与发展计划(13010520161203)“负压吸引及药物治疗在非哺乳期乳腺炎中的应用研究”
【分类号】：R655.8

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