乳腺导管扩张症72例细菌学研究
Chinese Journal of Current Advances in General Surgery(2014)
Abstract
目的:分析乳腺导管扩张症标本细菌学检测结果,为探讨乳腺导管扩张症的发病特点并为临床使用抗菌素提供参考依据.方法:对72例乳腺导管扩张症患者病灶处脓液及坏死炎症组织同时或分别进行需氧菌培养、厌氧菌培养、革兰染色、抗酸染色检查,对培养阳性菌落进行细菌鉴定及药敏试验.结果:72例患者中检出细菌者12例,总检出率16.7%;其中需氧菌培养72例,阳性8例,阳性率11.1% (8/72);厌氧菌培养5例,阳性1例,阳性率20.0%(1/5);革兰染色33例,查见细菌5例,阳性率15.2% (5/33);抗酸染色27例,无阳性结果.炎块期、脓肿期、瘘管期细菌检出阳性率无显著统计学差异(P=0.365).结论:乳腺导管扩张症存在细菌感染,多种方法联合检测有助于提高阳性率;需氧菌及厌氧菌均可查见,并非特殊细菌感染.
MoreKey words
Mammary duct ectasia,Bacteria,Antibiotics
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