乳晕弧形切口联合负压引流术治疗乳腺脓肿的效果  

Effects of arc areola incision combined with negative pressure drainage on mammary abscess

作　　者：王晋东 Wang Jindong(Department of General Surgery,Yantai Yeda Hospital Affiliated to Binzhou Medical College,Binzhou 264006,China)

机构地区：[1]滨州医学院附属烟台业达医院普外科,山东省264006

出　　处：《中国实用医刊》2020年第10期61-63,共3页Chinese Journal of Practical Medicine

摘　　要：目的:探讨乳晕弧形切口联合负压引流术治疗乳腺脓肿的效果。方法:抽取2018年2月至2019年2月滨州医学院附属烟台业达医院收治的女性乳腺脓肿患者50例,依据手术方案分为两组,每组25例。对照组采用传统脓肿切开引流术,观察组采用乳晕弧形切口联合负压引流术,比较两组手术指标及术后情况。结果:观察组瘢痕长度、愈合时间、住院时间少于对照组(t=22.628、10.414、13.860,P=0.001、0.001、0.001)。术后72 h,观察组白细胞介素1β、肿瘤坏死因子α、细胞间黏附分子-1检测值低于对照组(t=3.575、5.212、11.980,P=0.001、0.001、0.001)。观察组术后6个月复发率为4.00%(1/25),对照组为12.00%(3/25)。结论:乳晕弧形切口联合负压引流术治疗乳腺脓肿可调节患者炎症因子水平,降低疼痛程度及复发率。Objective To investigate the effect of arc areola incision combined with negative pressure drainage for mammary abscess.Methods Fifty female mammary abscess admitted Yantai Yeda Hospital Affiliated to Binzhou Medical College from February 2018 to February 2019 were selected and divided into two groups according to surgical protocol,with 25 cases in each group.The control group used traditional abscess incision and drainage,and the observation group used areola arc incision combined with negative pressure drainage.The surgical indicators and postoperative conditions were compared between the two groups.Results The scar length,healing time and hospitalization time in the observation group were shorter than those in the control group(t=22.628,10.414,13.860,P=0.001,0.001,0.001).Seventy-two hours after operation,the detection values of interleukin 1β,tumor necrosis factorα,and intercellular adhesion molecule-1 in the observation group were lower than those in the control group(t=3.575,5.212,11.980,P=0.001,0.001,0.001).The recurrence rate at 6 months after surgery was 4.00%(1/25)of the observation group and 12.00%(3/25)of the control group.Conclusions Arc-shaped areola incision combined with negative pressure drainage for mammary abscess can regulate the level of inflammatory factors,reduce the pain and recurrence rate.

关 键 词：乳腺脓肿 乳晕弧形切口 负压引流术 

分 类 号：R655.8[医药卫生—外科学]