RESUMEN
Objective To investigate the clinical application value of ductoscopic flushing in the treatment of early lactation acute mastitis.Methods 52 patients with early acute mammitis were divided into observation group (27 cases)and control group(25 cases)according to the principle of completely random.In the observation group, the patients were checked under the intervention of mammary duct firstly,and then the disease regions of the breast were flushed using ductoscope.In the control group,the patients were treated with artificial breast -milk.The two groups were all treated with the same antibiotics.The curative effect of the two groups was observed,and the statistical analysis was performed.Results In the observation group,the mass extinction time,pain relief time,pyretolysis time, hemogram recovery time,contralateral continued breast -feeding proportion,the proportion of abscess formation,the proportion of back -milk,the proportion of ipsilateral quadrant recurrence were (3.5 ±1.2)h,(5.0 ±0.9)h, (1.0 ±0.1)d,(1.0 ±0.3)d,92.6%,7.4%,7.4%,0.0% respectively,those in the control group were (24.0 ± 3.2)h,(2.0 ±2.1)h,(2.0 ±0.2)d,(3.0 ±0.3)d,88.0%,12.0%,12.0%,8.0% respectively.The differences between the two groups were statistically significant(t =1.72,0.36,0.43,0.72,χ2 =1.83,2.02,1.56,0.34,all P <0.05).Conclusion Ductoscopic flushing has good effect in the treatment of early lactation acute mastitis,and it is worthy of clinical promotion.
RESUMEN
Objective To investigate the effect of mammary ductoscope in treatment of lactational masti-tis induced by galactostasis ( nonbacterial mastitis ) .Methods This study included 200 patients with galactosta-sis-induced lactational mastitis in Department of Breast Surgery , Puyang Maternal and Child Health Care Hospital of Henan Province, from Jul.2010 to Jun.2014.The affected lactiferous ducts were unblocked and flushed un-der mammary ductoscope.The treatment outcomes were analyzed .Results Of all patients, 85%(170/200)were cured after being treated once, 7.5%(15/200)were cured after being treated twice, 2.0%(4/200)were cured af-ter being treated three times, and 5.5%(11/200)were converted to other therapies;97.0%(194/200)continued lactation after treatment .Conclusions The mammary ductoscope is effective in identifying the blockade of lactifer-ous ducts and draining the lactiferous ducts with galactostasis .It provides an effective diagnostic and therapeutic means for patients with galactostasis-induced lactational mastitis and can increase the accuracy of etiological diagno -sis and the cure rate.In addition, the space-occupying lesions in lactiferous ducts can be identified and located in time with the mammary ductoscope , thus reducing the length of operation .