摘 要：目的 研究膿肿型浆细胞性乳腺炎的二次手术必要性。方法 收集2011年1月～2016年6月我院收治肿型浆细胞性乳腺炎118例，其中单纯行脓肿切开引流65例，乳腺腺叶切除32例，乳腺象限切除21例，单纯行脓肿切开引流为对照组，余为实验组，对两组患者的住院时间、切口愈合时间、手术瘢痕大小、切口愈合等级、乳房变形情况及术后1年内的复发情况等相关临床资料进行回顾性分析。结果 试验组患者住院时间、切口愈合时间均少于对照组，组间比较差异有统计学意义（P<0.05）;实验组手术瘢痕大小、术后1年内的复发情况及乳房发生变形情况明显少于对照组，差异有统计学意义（P<0.05）;切口愈合等级实验组优于对照组，差异有统计学意义（P<0.05）。结论 脓肿型浆细胞性乳腺炎二次手术能够明显缩短患者住院时间及切口愈合时间，减轻了患者痛苦，术后乳房变形小、瘢痕面积长度减短，切口愈合效果好，美容效果好，减少短期复发。
关键词：脓肿型浆细胞性乳腺炎;二次手术;二次手术必要性
中图分类号：R655.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.031
文章编号：1006-1959（2018）05-0096-03
Necessity of Secondary Surgery for Abscess-type Plasma Cell Mastitis
LIU Yun-feng，TANG Hua-ming
（Department of General Surgery，Two Subjects，Chongqing Kaizhou District People"s Hospital，Chongqing 400000，China）
Abstract：Objective To study the necessity of secondary operation for abscess type plasma cell mastitis.Methods 118 cases of abscess type plasmacytic mastitis were treated in our hospital from January 2011 to June 2016.Among them，65 cases were treated with abscess incision and drainage，32 cases were treated with mammary gland lobectomy.21 cases of mammary gland quadrant resection were treated with abscess incision and drainage as control group，and the rest with experimental group.The clinical data such as hospitalization time，wound healing time，scar size，wound healing grade，breast deformation and recurrence within 1 year after operation were analyzed retrospectively.Results The experimental group hospitalization time and wound healing time were less than the control group，there were significant differences between the groups（P<0.05）;the experimental group postoperative scar size and postoperative recurrence of breast and 1 years occurrence of deformation was less than the control group，the difference was statistically significant （P<0.05）;wound healing grade the experimental group than the control group，the difference was statistically significant（P<0.05）.Conclusion The second operation of abscess plasmacytic mastitis can significantly shorten the time of hospitalization and wound healing，alleviate the pain of the patients，reduce the deformation of the breast，shorten the scar area，improve the healing effect of the incision，and the cosmetic effect is good，reduce short term recurrence.
