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目的:研究浆细胞性乳腺炎进行临床治疗的时机及其治疗效果。方法:选取我院于2012年11月至2013年11月期间收治的100例浆细胞性乳腺炎患者,根据患者的病程进展,使用药物进行治疗或实施手术治疗。结果:急性期患者的治愈率为90.6%(48 /53),缓解率9.4%(5 /53),总有效率为100%,复发率为11.3%(6/53);慢性期患者的治愈率为77.8%(14 /18),复发率为22.2%(4/18);脓肿期患者的治愈率为66.7 % (1 4 / 21 ), 癌管期治愈率75 % (6 /8 )。结论:急性期的浆细胞性乳腺炎患者,药物治疗效果最佳;浆细胞性乳腺炎患者的肿块静止期是手术治疗的最佳时机。脓腔置管冲洗引流及通过彩超进行的脓肿穿刺,对于乳房外形的保持效果较好。
Objective: To study the timing of the clinical treatment of plasma cell mastitis and its therapeutic effect. Methods: A total of 100 patients with plasma cell mastitis admitted from November 2012 to November 2013 in our hospital were selected and treated with drugs or surgery according to their course of disease. Results: The cure rate of acute phase patients was 90.6% (48/53), the remission rate was 9.4% (5/53), the total effective rate was 100% and the recurrence rate was 11.3% (6/53) The rate of recurrence was 22.2% (4/18) in 77.8% (14/18) of the patients. The cure rate was 66.7% (14/21) in abscess patients and 75% (6/8) in cancers. Conclusion: In the acute phase of plasma cell mastitis patients, the best drug treatment; plasma mastitis in patients with tumor quiescence is the best time for surgical treatment. Abscess catheter drainage and drainage through the color Doppler ultrasound abscess puncture for breast shape retention better.