首页|重度乳腺囊性增生患者经象限切除法治疗的临床观察

重度乳腺囊性增生患者经象限切除法治疗的临床观察

Clinical observation on patients with severe cystic hyperplasia of breast treated by quadrant resection

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目的 分析比较经象限切除法治疗重度乳腺囊性增生伴乳房下垂患者的临床效果及影响.方法 选取医院收治的100例重度乳腺囊性增生伴乳房下垂患者,随机分为对照组(45例)和观察组(55例).对照组采用药物保守治疗,观察组采用经象限切除法治疗,分析比较两组治疗3个月后的乳房疼痛评分情况、临床疗效及对照组药物副反应发生情况.结果 治疗3个月后,观察组的总有效率比对照组高(P<0.05).治疗前两组乳房疼痛程度无统计学差异(P>0.05);治疗3个月后,两组乳房疼痛程度均减轻,而观察组的疼痛程度比对照组明显减轻(P<0.05).观察组患者乳腺下垂术后全部纠正,未出现切口感染情况;对照组的药物总副反应率为28.88%.结论 经象限切除法治疗重度乳腺囊性增生伴乳房下垂,不仅能提高临床治疗效果,减轻乳房疼痛程度,避免药物治疗带来的副反应,还能保留乳房的满意外形.
Objective To analyze and compare the clinical effects and influences of quadrant resection in the treatment of severe cystic hyperplasia of breast with breast ptosis.Methods A total of 100 patients suffering severe cystic hyperplasia of breast with breast ptosis to receive treatment in our hospital were randomly divided into a control group(n =45) and an observation group(n =55).The patients in the control group were treated with drugs conservatively,while the patients in the observation group were treated with quadrant resection.The breast pain scores and clinical efficacy between the two groups after treatment for three months and the adverse drug reactions in the control group were analyzed and compared.Results After three months of treatment,the total effective rate in the observation group was higher than that in the control group (P < 0.05).Before treatment,the degree of breast pain between the two groups had no statistical difference (P > 0.05);after three months of treatment,the degree of breast pain in both groups decreased,while the degree of breast pain in the observation group was significantly lower than that in the control group (P < 0.05).The breast ptosis of patients in the observation group was all corrected,without incision infection.The total rate of adverse reactions in the control group was 28.88%.Conclusion Quadrant resection in the treatment of severe cystic hyperplasia of breast with breast ptosis can improve the clinical effects and reduce the degree of breast pain,while avoiding any side effects of drug treatment and maintaining a satisfactory shape of the breast.

hyperplasia of mammary glandsquadrant resectionbreast ptosiscurative effect

李琰、潘华锋、孙桂兰

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430081武汉,武汉市普仁医院甲乳外科

乳腺增生 象限切除 乳房下垂 疗效

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(1)
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