Clinical analysis of nonpuerperal mastitis: diagnosis and treatment study of 82 cases
10.3760/cma.j.issn.1673-4203.2014.03.011
- VernacularTitle:非哺乳期乳腺炎82例诊治分析
- Author:
Jian XU
;
Xianghui LIU
- Publication Type:Journal Article
- Keywords:
Nonpuerperal mastitis;
Mastitis;
Diagnosis;
Treatment outcome
- From:
International Journal of Surgery
2014;41(3):177-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and summarize the clinical features and treatmentof the nonpuerperal mastitis.Methods Eighty-two cases of nonpuer-peral mastitis from 2003 to 2013 were analyzed retrospectively.All patients were divided into surgery alone group (11 cases)and medication combined surgery group (71 cases),which PDM patients with triple anti-mycobacterial drugs therapy,GM patients with cortical hormone therapy.Results All patients were diagnosed by biopsy.The total duration of simple drug group (triple or hormone) is (11.92 ±6.50) weeks and remission rate after 4 weeks was (89.06 ± 2.25) ％.Drugs plus surgery group,the total duration of the group is (6.57 ± 2.30) weeks,and no recurrence.The total duration of the simple surgery group is (17.09 ± 13.11) weeks and remission rate after 4 weeks was (63.64 ± 1.10) ％.Comparison of the total duration of the three groups and the cumulative response rate curves were significantly different(P ＜ 0.05).Conclusions Nonpuerperal mastitis requires a combination of clinical and pathological diagnosis.Surgery is not the only treatment option,triple anti-mycobacterial or cortisol hormones for different types of pathology conservative treatment can achieve a satisfactory therapeutic effect.Drug therapy combined with surgery can shorten the duration and reduce the relapse rate,it is an effective treatment for nonpuerperal mastitis.
