摘要
目的 评估扩大切除手术方法在肉芽肿性小叶性乳腺炎治疗中的临床效果,以确定其作为一种潜在治疗手段的有效性和安全性。方法 方便选取2019年12月—2021年11月宁德市妇幼保健院妇产科收治的78例肉芽肿性小叶性乳腺炎患者为研究对象。根据随机数表法分为两组,对照组接受传统肿瘤切除手术(n=39),观察组接受扩大切除手术(n=39)。比较两组术后疼痛缓解、恢复时间、复发率及并发症发生率。结果观察组和对照组的并发症发生率分别为5.13%和20.51%,差异有统计学意义(χ^(2)=4.523,P<0.05)。观察组视觉模拟评分、复发率低于对照组,观察组患者的术后恢复时间明显缩短,差异有统计学意义(P均<0.05)。结论 扩大切除手术在肉芽肿性小叶性乳腺炎治疗中具有明显的优势,尤其是在术后恢复和减少复发方面。这一发现为临床治疗提供了新的可能性,但由于样本量限制和地域局限,需要更广泛的多方面研究。
Objective To evaluate the clinical efficacy of extended resection in the treatment of granulomatous lobular mastitis to determine its efficacy and safety as a potential treatment.Methods A total of Seventy-eight patients with granulomatous lobular mastitis admitted to the Department of Obstetrics and Gynecology of Ningde Maternal and Child Health Hospital from December 2019 to November 2021 were conveniently selected as the study objects.They were divided into two groups by random number table method,the control group received traditional tumor resection(n=39)and observation group received extended resection(n=39).The postoperative pain relief,recovery time,recurrence rate,and complication rate of two groups were compared.Results The incidence of complications in the observation group and the control group were 5.13%and 20.51%,respectively,and the difference was statistically significant(χ^(2)=4.523,P<0.05).Visual Analogue Scale score and recurrence rate of observation group were lower than those of control group,the postoperative recovery time of patients in the observation group was significantly shorter,and the differences were statistically significant(all P<0.05).Conclusion The results of this study suggest that extended resection has significant advantages in the treatment of granulomatous lobular mastitis,especially in terms of postoperative recovery and reduction of recurrence.This finding opens up new possibilities for clinical treatment,but due to sample size limitations and geographical limitations,more extensive various studies are needed.
作者
黄邦婧
雷莉
陈潇霄
HUANG Bangjing;LEI Li;CHEN Xiaoxiao(Department of Obstetrics and Gynecology,Ningde Maternal and Child Health Hospital,Ningde,Fujian Province,352100 China)
出处
《中外医疗》
2024年第5期32-35,共4页
China & Foreign Medical Treatment
关键词
肉芽肿性小叶性乳腺炎
扩大切除手术
治疗效果
术后恢复
Granulomatous lobular mastitis
Extended excision
Therapeutic effect
Postoperative recovery
