文章摘要
胡 玥,奚佩雯,石 靓,吴 靓,周文斌,丁 强.非哺乳期乳腺炎的分类和诊治进展[J].南京医科大学学报,2019,(5):769~773
非哺乳期乳腺炎的分类和诊治进展
Advances in the classification,diagnosis and treatment of non⁃puerperal mastitis
投稿时间:2018-12-17  
DOI:10.7655/NYDXBNS20190530
中文关键词: 非哺乳期乳腺炎  导管周围乳腺炎  肉芽肿性小叶性乳腺炎
英文关键词: non⁃puerperal mastitis  periductal mastitis  granulomatous lobular mastitis
基金项目:国家自然科学基金(81572595)
作者单位
胡 玥 南京医科大学第一附属医院乳腺外科江苏 南京 210029 
奚佩雯 南京医科大学第一附属医院乳腺外科江苏 南京 210029 
石 靓 南京医科大学第一附属医院乳腺外科江苏 南京 210029 
吴 靓 南京医科大学第一附属医院乳腺外科江苏 南京 210029 
周文斌 南京医科大学第一附属医院乳腺外科江苏 南京 210029 
丁 强 南京医科大学第一附属医院乳腺外科江苏 南京 210029 
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中文摘要:
      近年来非哺乳期乳腺炎(non?puerperal mastitis,NPM)的发病率在逐年递增,多见于年轻女性,男性患者也有个别报道。NPM主要分为乳腺导管扩张症(mammary duct ectasia,MDE)、导管周围乳腺炎(periductal mastitis,PDM)、肉芽肿性小叶性乳腺炎(granulomatous lobular mastitis,GLM)3大类,其中以PDM和GLM最常见。鉴于非哺乳期乳腺炎的诊断和治疗较为棘手,易与炎性乳癌相混淆,治疗后反复发作是该病的特点,也是其难治的原因,甚至部分患者因此切除乳房,身心受到重大创伤。本文结合现有报道,针对NPM临床诊疗中的分类、诊断以及治疗进行综述。
英文摘要:
      The incidence of non?puerperal mastitis(NPM)has been increased in recent years,mainly in young women. Individual reports have been reported in men. NPM was mainly divided into three categories:mammary duct ectasia(MDE),periductal mastitis(PDM),and granulomatous lobular mastitis(GLM). Among them,PDM and GLM were the most common types. In view of the difficulty in the diagnosis and treatment of NPM,which was often confused with inflammatory breast cancer,recurrent attacks after treatment were the characteristics of the disease,resulting its refractory treatment. Moreover,some patients even underwent mastectomy because of this disease,and suffered physiological and psychological trauma. In this paper,we shall review the clinical classification,diagnosis and treatment of NPM combined with existing reports.
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