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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

06

期数:

2006年9期

页码:

673-674

栏目:

出版日期:

2006-09-20

文章信息/Info

Title:

Surgical treatm ent for 48 cases of mammary duct fistula

作者:

王忆丽

江西省南昌市第三医院乳腺中心,南昌,330009

Author(s):

Wang Yili.

Centre of Prevention and Treatment on Breast Diseases,Nanchang Third Hospital, Nanchang 330009, China

关键词:

乳腺导管瘘; 治疗

Keywords:

Mammary duct fistula; 　Treatment

分类号:

R655.8

文献标志码:

A

摘要:

目的 探讨手术切除瘘管治疗乳腺导管瘘的效果.方法 1998年1月～2005年12月,我院对39例乳腺导管瘘行瘘管切除联合周围部分腺体切除,4例行全乳切除,3例行皮下腺体切除,2例行乳头乳晕切除. 33例一期缝合,15例敞开换药.结果 48例随访3个月～8年,平均3年,一期缝合的33例中有5例复发,经敞开换药后治愈,余43例均一次性治愈.结论 瘘管切除术是治疗乳腺导管瘘的基本手术原则,在减少复发的前提下,为保持乳房外形的美观及缩短住院时间,尽量予以一期缝合.

Abstract:

Objective　To investigate the effect of surgical treatment ofmammary duct fistula.　M ethods　A total of 48 cases ofmammary duct fistula were surgically treated, including 39 cases of fistulectomy and partialmastectomy, 4 cases of total mastectomy, 3 cases ofsubcutaneousmastectomy, and 2 cases ofpapillectomy. The incisionwas primarily sutured in 33 cases and kept open for drainage in 15 cases.　Results　A follow-up was carried out in the 48 cases for3 months ~ 8 years (mean, 3 years). Out of the 33 cases of primary closure ofwound, 5 cases developed a recurrence and then were cured by drainage and regular dressing change. The remaining 43 caseswere cured on one session.　Conclusions　Fistulectomy is the basis of the treatment ofmammary duct fistula. For a good cosmetic appearance and a short hospital stay, the operation should be performed with primary closure of wound, unless the recurrence ismore likely to happen.

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更新日期/Last Update: 2014-02-13