巴氏腺脓肿造瘘术式的临床观察  

Clinical observation of fistulation for Bartholin gland abscess

作　　者：朱吉[1] 吕川[1] 赵辉[1] 王宇翀[1] 孙梦妍 武铠[1] 邢新[1] 薛春雨[1] 

机构地区：[1]上海长海医院整形外科,上海200433

出　　处：《中国美容整形外科杂志》2015年第7期412-414,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 寻找一种治疗巴氏腺脓肿的简单有效方法.方法 自2011年1月至2012年6月,我们对12例会阴部巴氏腺脓肿患者采用造瘘术进行治疗.局部麻醉下,于巴氏腺开口及其上方分别设计2个切口,排除腔内脓液,橡胶半管贯穿两切口留置腔内,端端缝合成环状.术后每天换药至无脓性分泌物.结果 12例患者置管期间均无不适主诉.4周后无困难取出环状导管,巴氏腺脓肿愈合,产生2个上皮化的窦道.随访2年以上,脓肿无复发.结论 造瘘术是治疗巴氏腺脓肿的一种简单、安全、有效的方法,可作为巴氏腺脓肿的治疗方法之一.Objective To explore a simple and effective method of treatment of a Bartholin gland ab scess. Methods Between January 2011 and June 2012, 12 patients with Bartholin gland abscess were treated with fistulation in our department. Their clinical materials and follow-up results were retrospectively analyzed. Under local anesthetic, two incisions were made respectively in the area of the duct orifice and a loop of tubing was placed, allowing for drainage of the abscess. The abscess cavity was sterilized every day until there was no purulent secretion produced. Results The 12 patients with were with no complaints during the tube replacement. The Bartholin gland abscess healed with two epithelialized sinus tracts after the device was removed smoothly at 4 weeks postoperatively. There were no recurrences of Bartholin gland abscess after over 2 years following up. Conclusion Fistulation is a simple and effective method to treat Bartholin gland abscess.

关 键 词：巴氏腺脓肿 造瘘术 会阴部 

分 类 号：R711.3[医药卫生—妇产科学]