小切口联合负压引流装置与传统脓肿切开引流治疗产后乳腺脓肿的疗效比较  

Comparison of curative effects between small incision combined with negative pressure drainage device and traditional incision drainage in the treatment of postpartum breast abscess

作　　者：张远起[1] 覃文懿[1] 李建文[1] 陈小东[1] 丁洪飞[1] 黄胜超[1] 黄水传[1] 张智[1] 

机构地区：[1]广东医学院附属医院乳腺外科,524001

出　　处：《中国实用医药》2016年第15期17-18,共2页China Practical Medicine

摘　　要：目的为有效改善产妇产后乳腺脓肿症状,临床探究小切口与负压引流装置联合治疗较传统方式的疗效。方法 40例产后出现乳腺脓肿症状的产妇,按入院时间分为观察组与联合组,每组20例。观察组采用传统行手术刀切开脓肿进行引流治疗,联合组对患者行小切口与负压引流装置联合治疗。观察两组产妇恢复情况以及疼痛程度、术后继续哺乳情况。结果治疗后联合组较观察组产妇术后疼痛感轻、伤口恢复用时少、换药天数少、切痕长度短(P<0.05);两组术后继续哺乳情况相比,联合组哺乳率70.0%高于观察组25.0%(P<0.05)。结论使用传统方式对产后出现乳腺脓肿患者进行治疗,虽可有效消除脓肿但患者术后疼痛感较强、恢复用时较长,且术后产妇大多无法继续哺乳婴孩,若采用小切口联合负压引流装置可有效避免上述问题且手术切口小,术后无明显手术瘢痕。ObjectiveTo research curative effects by small incision combined with negative pressure drainage device and traditional incision drainage, in order to improve postpartum breast abscess symptoms. MethodsA total of 40 puerpera with postpartum breast abscess were divided by admission order into observation group and combined group, with 20 cases in each group. The observation group received traditional incision drainage, and the combined group received small incision combined with negative pressure drainage device. Recovery condition, pain degree and postoperative breastfeeding were observed in the two groups.Results After treatment, the combined group had lower postoperative pain degree, less wound recovery time, dressing change days, and shorter incision length than the observation group （P〈0.05）. The combined group had higher postoperative breast feeding rate as 70.0% than 25.0% of the observation group （P〈0.05）.ConclusionImplement of traditional treatment for postpartum breast abscess contains strong postoperative pain degree, slow recovery and low postoperative breast feeding rate. Small incision combined with negative pressure drainage device can avoid above problems, along with small wound and scar.

关 键 词：小切口 负压引流装置 产后乳腺脓肿 疗效 

分 类 号：R655.8[医药卫生—外科学]