Abstract: 【Abstract】〓Objective〓To explore the effectiveness of using stent method to treat recrudescent mammillary fistulas with nipple retraction. Methods〓Thirty-two cases of recrudescent mammillary fistulas with nipple retraction treated with stent method were reviewed. After well control of infection, the key point of stent method was to find the big drainage lactiferous duct of the nipple and then to insert a stent to support the nipple. And phase I nipple reconstruction were performed in all the 32 cases. Results〓All of 32 patients were recovered after treatment and no recurrence occurred after a medium follow-up time of 16 months. Conclusion〓The stent method is simple and effective to treat recrudescent mammillary fistulas with nipple retraction and is worthy of promotion in clinic.

Key words: Nipple retraction, Mammillary fistula, Stent method

摘要：

【摘要】 目的 初步探讨支架法是否能有效地治疗复发性乳头凹陷性乳腺导管瘘。方法〓回顾性分析复发性乳头凹陷性乳腺导管瘘32例,总结其病因和瘘管周围结构特点,以及利用支架法进行。在控制感染的基础上,找到乳头内引流的大导管,停留支架管支撑并Ⅰ期重建乳头。结果〓32例患者经治疗后均治愈,术后16个月随访均无复发。结论〓支架法治疗复发性乳头凹陷性乳腺导管瘘简单有效,值得临床推广。

关键词: 乳腺导管瘘, 支架法, 乳头内陷