实用医学杂志 ›› 2022, Vol. 38 ›› Issue (9): 1161-1165.doi: 10.3969/j.issn.1006⁃5725.2022.09.022

• 综述 • 上一篇    下一篇

非哺乳期乳腺炎的诊疗进展

韦丽光 韩猛    

  1. 秦皇岛市第一医院(河北秦皇岛 066000)

  • 出版日期:2022-05-10 发布日期:2022-05-10
  • 基金资助:
    河北省秦皇岛市科学技术研究与发展计划(编号:201902A136)

Diagnosis and treatment of non ⁃ puerperal mastitis:A systematic literature review

WEI Liguang,HAN Meng.   

  1. First Hospital of Qinhuangdao,Qinhuangdao 066000,China

  • Online:2022-05-10 Published:2022-05-10

摘要:

非哺乳期乳腺炎(non⁃puerperal mastitis,NPM)是一种少见的乳腺良性疾病,属疑难杂症,近 年来发病呈上升趋势。NPM 是一组疾病的总称,包括乳腺导管扩张症、导管周围乳腺炎、浆细胞性乳腺 炎、肉芽肿性小叶乳腺炎。该病在临床中存在容易漏诊、误诊、延迟诊断、治疗不当等问题,从而导致病程 长、疗效不佳、乳房美观度明显受损、医疗费用增加等不良后果,严重影响患者的身心健康。因此,对 NPM 进行全面系统的回顾总结具有重要的临床价值。本文通过查阅大量国内外有关 NPM 的文献资料,从疾病 分类、危险因素、诊断、治疗/预后四个方面展开讨论,从临床实践的角度出发解释 NPM 的热点和难点问 题,总结该病的诊疗进展,以期为临床医师开展 NPM 的诊疗工作提供参考,并为开展有关 NPM 的科研提 供新思路。

关键词:

非哺乳期乳腺炎, 分类, 危险因素, 诊断, 治疗

Abstract:

Non ⁃puerperal mastitis(NPM)is a rare benign breast disease,which is intractable. Its inci⁃ dence is increasing year by year in recent years. NPM includes mammary duct ectasia(MDE),periductal mastitis (PDM),plasma cell mastitis(PCM)and granulomatous lobular mastitis(GLM). Clinically,NPM is often misdi⁃ agnosed or treated improperly,leading to bad consequences such as longer course,poor curative effect,obvious breast deformity and more medical expense. In this review,classification,risk factors,diagnosis,treatment and prognosis of NPM are summarized by searching and reading literature about NPM from both domestic and foreign database,in order to provide a basis for clinicians to diagnose and treat NPM and open up a new insight to it as well.

Key words:

non?puerperal mastitis, classification, risk factor, diagnosis, treatment

中图分类号: