超声引导下置管引流及麦默通微创旋切术治疗乳腺脓肿临床分析  

Clinical analysis of ultrasound-guided catheter drainage and vacuum-assisted Mammotome system in treatment of lactational breast abscess

作　　者：安兆峰[1] 刘清泉[1] 张义伟[1] 

机构地区：[1]河南省漯河市中心医院普外二科,462000

出　　处：《中国医师进修杂志》2016年第8期724-726,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的：探讨超声引导下置管引流及麦默通微创旋切术在哺乳期乳腺脓肿治疗中的临床价值。方法回顾性分析46例哺乳期乳腺脓肿患者的临床资料。按治疗方法分为置管引流组28例，麦默通微创旋切组18例，置管引流组采用自制冲洗引流管引流，评价两种术式的疗效。结果置管引流组及麦默通微创旋切组均全部治愈。麦默通微创旋切组愈合时间（9.9±1.4）d，明显短于置管引流组的（12.5±2.2）d，差异有统计学意义（t＝4.642，P＆lt;0.01）。术后继续哺乳率置管引流组为57.1%（16/28），麦默通微创旋切组为13/18，差异无统计学意义（χ2=1.069，P〉0.05）。两组患者随访3～12个月，平均7.8个月，全部病例恢复良好，无复发。结论超声引导下置管引流可作为治疗直径大于3 cm乳腺脓肿的一线治疗方式。如患者经济条件较好，对美容要求高，可应用麦默通微创旋切术作为治疗方案。Objective To investigate the clinical application value of ultrasound-guided catheter drainage and vacuum-assisted Mammotome system in the treatment of lactational breast abscess. Methods The clinical data of 46 patients with lactational breast abscesses were analyzed retrospectively. All patients were divided into control group （28 patients） and treatment group （18 patients）. Homemade irrigation and drainage tube was used in control group,and vacuum-assisted Mammotome system was used in treatment group. The curative effect of 2 groups was compared. Results All patients were cured. The mean healing time in treatment group was （9.5 ± 1.3） d,in control group was （12.5 ± 2.2） d, and there was significant difference （P 〈 0.01）. The rate of breast-feeding in control group was 57.1% （16/28）, in treatment group was 13/18,and there was no significant difference （χ2=1.069, P〉0.05）. All patients recovered well without recurrence. Conclusions Ultrasound-guided catheter drainage should be employed as first line treatment of breast abscess with diameter greater than the 3 cm. If patient′s economic conditions are good and have high requirement on the beauty outcome, vacuum-assisted Mammotome system can be applied as treatment option.

关 键 词：乳腺炎 脓肿 引流术 超声检查 乳房 麦默通 

分 类 号：R655.8[医药卫生—外科学]