摘要
近年来在乳腺疾病的研究方面,非哺乳期乳腺炎的相关报道逐年增加。非哺乳期乳腺炎临床表现多样,治疗方式多样,并且容易复发,受到许多临床医生及科研工作者的关注,其中主要以肉芽肿性小叶性乳腺炎为特征性代表,表现为乳腺结节或肿块、乳头内陷、乳房红肿疼痛、慢性脓肿和窦道形成等多种形式,不易辨别。初诊患者应该结合临床表现、体征、影像学特征、微生物学检测和病理组织学等多学科综合判断后确诊,临床上主要以手术治疗联合激素治疗及中药治疗等非手术治疗为主;但是对于其进一步的临床特征(包括发病特点)及相关的发病机制仍存在争议,需要研究人员及临床工作者进一步探究和认识。
In recent years,non-lactation mastitis has been reported more frequently in breast disease research.The clinical manifestation and treatment of it are various,but it's recurrence rate are still high,which gains many clinicians and researchers'concerning.Granulomatous lobular mastitis is a representative.It can be manifested as breast nodules or masses,nipple invagination,breast swelling pain,chronic abscess and sinus formation,and other forms.So,the initial diagnosis should be made with multidisciplinary judge including clinical manifestations,physical check,imaging features,microbiological examination and histopathology.Combining hormone therapy and traditional Chinese medicine therapy are the main non-operative treatment,but the clinical feature(including the characteristics of the disease)and the related pathogenesis are still controversial and can't be explained detailedly.
作者
万舒桐
杨越
WAN Shutong;YANG Yue(Department of Breast,the First People's Hospital of Kumming,Kunming Yunnan 650000,China;Graduate School,Kumming Medical University,Kunming Yunnan 650000,China)
出处
《中国卫生标准管理》
2023年第4期194-198,共5页
China Health Standard Management
