EnCor微创手术与传统手术治疗乳腺脓肿的对比  

Comparison of incision and drainage against En Cor biopsy aspiration for the treatment of breast abscess

作　　者：陶丹丹[1] 任敏[1] 裴静[1] 杨筱嵬[1] 陈樱[1] 岳健[1] 王本忠[1] 

机构地区：[1]安徽医科大学第一附属医院乳腺外科,合肥230022

出　　处：《安徽医科大学学报》2017年第3期453-455,465,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽省公益性技术应用研究联动计划项目(编号:15011d04037)

摘　　要：收集乳腺脓肿直径≥30 mm的患者327例,其中193例选择安珂(En Cor)微创手术(观察组),134例选择传统切开引流术(对照组)。依据影像学资料,根据脓腔分隔情况,将患者分为单腔组和多腔组,分别对观察组和对照组的手术情况、美容效果、满意度等进行对比研究。结果显示观察组较对照组的手术用时少、愈合时间短、美容度和满意度高,差异有统计学意义(P<0.05)。在单腔组中,观察组的治愈率均高于对照组,但仅在脓腔直径30~69 mm内的差异有统计学意义(P<0.05)。在多腔组中,观察组的治愈率也高于对照组,且差异有统计学意义(P<0.05)。随访数据中,观察组和对照组的复发率差异无统计学意义(P>0.05)。对于脓腔较大、有美容需求又拥有一定经济能力的患者,En Cor微创手术可以作为安全、可靠、有效的手术方式选择之一。A total of 327 females with breast abscesses （the diameter of abscesses ≥30 mm） were enrolled in this study. 193 women choosing ultrasound guided EnCor biopsy aspiration with catheters were set as the study group, while 134 women choosing the incision and drainage were set as the controlled group. And the two groups were di- vided into the unilocular abscess group and the muhiloeualr abscesses group respectively. The surgical situation, the cosmetic effect and the satisfaction of surges were compared between the two groups. The results showed that the time for surgeries and healing in the study group was shorter than those in the control group, and the cosmetic effect and the satisfaction of surgeries was higher than those of the control group. There was statistical significance for the time for surgeries and healing, the cosmetic effect and the satisfaction of surgeries between two groups （P 〈 0. 05 ）. As to the unilocular abscess group, the cure rate of the study group was higher than that of the control group, and the result only showed statistical difference in unilocular abscesses group which the diameter of abscesses was 30 mm to 69 mm （ P 〈 0.05 ）. In the multiloclar abscesses group, the cure rate of the study group was higher than that of the control group with statistical difference （P 〈 0.05 ）. There was no statistical difference in the recurrence rate between the study group and the control group. As for patients with cosmetic requirements, certain economic capac- ity, large sized unilocular and muhiloeular breast abscesses, ultrasound guided EnCor biopsy aspiration is a safe, reliable and effective surgical method.

关 键 词：微创手术 引流 乳腺脓肿 

分 类 号：R655.8[医药卫生—外科学]