目的 探讨整形外科技术在复发性乳晕下脓肿手术中的临床应用。方法 回顾性分析接受手术治疗的乳晕下脓肿39例的临床资料。通过应用整形外科技术,联合切除瘘管及边缘皮肤、受累大导管及其周围腺体,腺体重塑的同时纠正内翻乳头、重建乳头、乳晕复合体,并观察长期疗效及美学评价结果。结果 39例手术成功,疗效满意,术后美容效果优良。随访11～37个月(平均23.6个月),无复发。结论 结合整形外科技术手术治疗乳晕下脓肿,方法简单、可行,疗效满意,不必考虑瘘管与乳头-乳晕复合体的位置关系,非常适合治疗单发的慢性瘘管性乳晕下脓肿。
Abstract
Objective To evaluate the application of plastic techniques in surgical treatment of patients with recurring subareolar abscess.Methods We retrospectively analyzed the clinical data of 39 patients with recurring subareolar abscess who underwent surgical treatment from May 2011 to July 2013.Our treatment combined resection of the fistula, the terminal mammary ducts, and mammary gland involved in the inflammatory process. This was associated with glandular remodeling,correction of the inverted nipple and rebuilding of nipple areolar complex. Results The operations were successful and excellent cosmetic results were obtained in all cases.No local recurrence was found during the followup of 11-37 months (medium 23.6 months).Conclusions Our technique is simple and feasible and the results are encouraging. It can be used regardless of the location of the fistula around the periphery of the nipple-areola complex and it is perfectly suited to the management of unifocal chronic fistulous abscess.
关键词
乳晕下脓肿 /
瘘管 /
整形技术
Key words
recurring subareolar abscess /
fistula /
plastic technique
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 颜廷诚,周 华. 乳腺导管瘘29例报告[J].山东医药,2006,46(30):28.
[2] 陈 静,李 威,王宽宇.浆细胞性乳腺炎的中西医诊疗[J]. 医学研究杂志,2014,43(3):146-148.
[3] Kamal R M, Hamed S T, Salem D S.Classification of inflammatory breast disorders and step by step diagnosis[J]. Breast J,2009,15(4):367-380.
[4] 祝东升,赵立娜,张董晓.中西医结合法治疗浆细胞性乳腺炎153例[J]. 中国临床医生,2007,35(6):36-37.
[5] Urban J. Excision of the major duct system of the breast[J].Cancer, 1963,16:516-520.
[6] Hadfield G J. Excision of major duct system for benign disease of the breast[J].Br J Surg,1960,48:472-477.
[7] Hadfield G J. Further experience of the operation for excision of the major duct system of the breast[J].Br J Surg,1968,55:530-535.
[8] Hanavadi S, Pereira G, Mansel R E. How mammillary fistulas should be managed[J].Breast J,2005,11:254-256.
[9] Dixon J M, Thompson A M. Effective treatment for mammary duct fistula[J]. Br J Surg,1991,78:1185-1186.
[10] Almasad J K. Mammary duct fistulae: classification and management[J]. ANZ J Surg,2006,76:149-152.
[11] Giacalone P L,Rathat G,Fournet S,et al. Surgical treatment of recurring subareolar abscess using oncoplastic techniques[J].J Visc Surg,2010,147(6):389-394.
[12] Li S, Grant C S, Degnim A,et al. Surgical management of recurrent subareolar breast abscesses: mayo clinic experience[J].Am J Surg, 2006,192:528-529.
PDF(7586 KB)
