“扩大切除+腺成型+灌洗术”——治疗乳腺导管扩张症的一种新尝试

摘要

Objective To study the safety and availability of extended resection,gland reconstruction and mammary gland lavage in treatment of mammary duct expansion.Methods 41 patients with duct expansion admitted from Mar.2012 to Jan.2015 were studied and they were randomly divided into two groups.15 patients in the control group received normal surgical treatment,and 26 patients in the observation group received extended resection,gland reconstruction and mammary gland lavage treatment.Results The operation time,intraoperatve blood loss,length of hospital stay and degree of satisfaction of the observation group were superior to those of the control group while the recurrence rate was lower than that of control group.The gland expanded resection reduced the recurrence rate,the shape of the breast was improved,and the continuous irrigation was the guarantee for the immediate formation of the gland.The three kinds of surgical procedures were organically combined and complement each other.Conclusion The surgical methord of extended resection,gland reconstruction and mammary gland lavage is worth of further exploring due to its advantages of easy to operate,good cosmetic effect and low recurrence rate.%目的 探讨“扩大切除+腺体成型+灌洗术”在治疗导管扩张症中的合理性、安全性和有效性.方法 选取蚌埠医学院第一附属医院肿瘤外二科2012年3月至2015年1月导管扩张症患者41例,随机分为2组.观察组26例采取“扩大切除+腺体成型+灌洗术”,对照组15例采用常规扩大切除术.结果 近期观察指标:观察组的平均手术时间、出血量、住院时间明显高于对照组;远期观察指标显示:满意度和局部复发率明显优于对照组.腺体扩大切除降低术后复发率,腺体成型改善了术后乳房外形,间断的灌洗为腺体即刻成型提供了保证,3种术式有机结合,相辅相成,互为条件.结论 “扩大切除+腺体成型+灌洗术”这种术式设计巧妙,操作简单,美容效果好,且可能会降低复发率,值得迸一步探索.