穿刺抽脓治疗哺乳期乳腺脓肿的临床分析  

Theclinical Analysis of Puncture Suction in Treatinglactational Breast Abscess

作　　者：冯艳玉 贾兴东 刘建 王继 宿士智 FENG Yan-yu;JIA Xing-dong;LIU Jian;WANG Ji;SU Shi-zhi(Department of General Surgery,Daxing Teaching Hospital of Capital Medical University,Beijing 102600,China)

机构地区：[1]首都医科大学大兴教学医院普外科,北京102600

出　　处：《中国医药指南》2020年第19期58-59,共2页Guide of China Medicine

摘　　要：目的评价穿刺抽脓治疗哺乳期乳腺脓肿的临床效果。方法前瞻性收集2018年5月至2019年8月在我院乳腺外科门诊因哺乳期乳腺脓肿行穿刺抽脓患者的临床资料,与同期行传统切开引流术的患者进行对比。记录两组患者一般情况(包括脓肿特征)、治疗情况,并进行统计分析。结果共纳入分析54例患者。穿刺抽脓术、传统手术均安全、有效。穿刺抽脓组患者疼痛程度明显更轻,治疗次数更少,痊愈时间更短,遗留瘢痕更短,停止哺乳率更低,差异均有统计学意义(P<0.05)。穿刺抽脓治愈率略低于传统手术,但差异无统计学意义。穿刺抽脓治疗失败的危险因素包括:脓腔最大径较大、产后时间短。结论大部分较小乳腺脓肿可通过穿刺抽脓治愈,治疗效果明显优于传统手术组。Objective To evaluate the clinical effect of puncture suction in treating lactational breast abscess.Methods The clinical data of lactational breast abscess patients undergoing puncture suctionin breast surgery clinic was collected prospectively between May 2018 and August 2019,and patients undergoing traditional incision and drainage at the same time were classified as contrast group.The general characteristics of the patients(including abscess characteristics),treatment effectwere recorded;and statistical analysis was made.Results 54 patients were analyzed.Puncture suction and traditional incision and drainage were all safe and effective.Patients accepting puncture suction acquired less painful,less treatment times,shorter recovery time,shorter scar,less breastfeeding rate compared with patients accepting traditional incision and drainage;and the difference was statistically significant(P<0.05).The cure rate of puncture suction was lower,but the difference wasn’t statistically significant.The risk factors of puncture suction treatment failure included larger abscess diameter and shorter time after childbirth.Conclusion Most small abscess can be cured by puncture suction,and it’s clinical effect is better than traditional incision and drainage.

关 键 词：乳腺脓肿 微创治疗 穿刺抽脓 传统切开引流术 疼痛 

分 类 号：R737.9[医药卫生—肿瘤]