无引流麦默通单次穿刺冲洗治疗哺乳期乳腺脓肿  

Single puncture and irrigation with Mammotome system in treatment of lactational breast abscess without drainage

作　　者：李海志[1] 宋毕清[1] 李涛[2] 徐沁甜[1] 

机构地区：[1]江苏省常州市中医医院乳腺外科,213003 [2]江苏省常州市中医医院超声科,213003

出　　处：《中华内分泌外科杂志》2016年第2期156-158,共3页Chinese Journal of Endocrine Surgery

摘　　要：目的评价无引流麦默通单次穿刺冲洗治疗哺乳期乳腺脓肿的临床疗效与安全性。方法32例哺乳期乳腺脓肿患者接受彩超引导下麦默通穿刺冲洗治疗，术中吸除脓液，切除坏死组织．残腔予以3％过氧化氢和康复新液冲洗，不置引流，按时哺乳。结果全部患者均单次治疗治愈，平均住院日4d。除3例主动要求停止哺乳外，其余29例均继续哺乳。除1例发生术后血肿、1例出现切口肉芽肿外．无其他并发症发生。随访3～36个月，均无复发，乳房外形无影响。结论麦默通单次穿刺冲洗不置引流治疗哺乳期乳腺脓肿微创美观，并发症少，不影响哺乳，可安全用于哺乳期乳腺脓肿治疗。Objective To evaluate clinical efficacy and safety of single puncture and irrigation with Mammotome system in treatment of lactational breast abscess without drainage. Methods 32 patients with lactational breast abscess were treated with ultrasound-guided puncture and irrigation by Mammotome system. Pus was cleared and necrotic material was removed. The residual cavity was irrigated with 3% hydrogen peroxide solution and Kangfuxin solution and no drainage was placed. Breast-feeding on time was encouraged. Results All patients were successfully treated with single puncture and irrigation. The average length of hospital stay was 4 days. Except for 3 cases actively requesting to stop lactating, the other 29 patients continued to breast-feed. There was one case with postoperative hematoma, one with wound granuloma, and no other complications occurred. There was no relapse during the follow-up of 3 to 36 months. All patients were satisfied with the appearance of the breasts. Conclusions Single puncture and irrigation with Mammotome system without drain placement is a safe procedure in treatment of lactational breast abscess with the advantage of minimal invasion, low complication and does not affect breastfeeding.

关 键 词：乳腺脓肿 麦默通 微创手术 冲洗治疗 

分 类 号：R655.8[医药卫生—外科学]