乳腺脓肿微创治疗的临床应用  

Clinical application of mini-invasive treatment of breast abscess

作　　者：刘君[1] 孙长怡[1] 

机构地区：[1]首都医科大学宣武医院急诊科,北京100053

出　　处：《临床外科杂志》2014年第1期38-39,共2页Journal of Clinical Surgery

摘　　要：目的 评价乳腺脓肿微创治疗的临床应用价值.方法 将86例乳腺脓肿患者分为穿刺引流组（29例）、小切口引流组（33例）和传统切开引流组（24例）,观察各组治疗效果.结果 穿刺引流组在疼痛评分、愈合时间和换药次数方面优势明显,传统引流组有一定比例的并发症.脓肿直径大于5cm者微创治疗失败率明显增高（P〈0.01）.结论 微创治疗在乳腺脓肿的治疗中具有极大意义,尤其适用于脓腔较小者,但传统切开引流法仍有意义.Objective To evaluate the clinical value of mini-invasive treatment of breast abscess. Methods A total of 86 patients with breast abscess were treated with puncture drainage（ n =- 29）, micro- incision drainage（ n--33 ）and traditional incision drainage （n =24 ）. The treatment effects were compared among the three groups. Results The puncture drainage group had obvious advantages in pain score, heal- ing time and frequency of dressing changes. There were a few cases with complications in the group of tra- ditional incision drainage. The failure rate of those cases with abscess diameter great than 5cm was obviously higher（ P 〈 0.01 ）. Conclusion Mini-invasive treatment has great applicable value in the treatment of breast abscess, especially in cases with smaller abscess cavity. But the traditional incision drainage method still owns its significance.

关 键 词：乳腺脓肿 微创治疗 穿刺引流 切开引流 

分 类 号：R656.7[医药卫生—外科学]