小切口联合负压封闭引流术治疗哺乳期乳腺脓肿的效果  

Effect of small incision combined with negative-pressure closed drainage in the treatment of mammary abscess during lactation

作　　者：胡超[1] 李超[1] 田甜[1] 李明[1] HU Chao;LI Chao;TIAN Tian;LI Ming(Department of General Surgery,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京潞河医院普外科,北京101149

出　　处：《中国医药导报》2023年第21期121-124,共4页China Medical Herald

基　　金：北京市通州区高层次人才发展支持计划-领军人才项目[通人才字(2018)6号]。

摘　　要：目的观察小切口联合负压封闭引流术治疗哺乳期乳腺脓肿的临床效果,为基层医院的临床治疗提供参考。方法选取2021年6月至2022年6月首都医科大学附属北京潞河医院住院治疗的乳腺脓肿患者146例为研究对象。按照随机单双数法,将其分为观察组和对照组,各73例。对照组采用小切口切开引流术,观察组在对照组的基础上联合负压封闭引流术。比较两组切口长度、伤口愈合时间、疼痛评分;术后随访3个月,观察两组复发情况及继续哺乳率。结果两组切口长度的比较,差异无统计学意义(P>0.05);观察组伤口愈合时间短于对照组,数字评分法评分低于对照组(P<0.05)。观察组术后脓肿复发率低于对照组,继续哺乳率高于对照组(P<0.05)。结论哺乳期乳腺脓肿行小切口联合负压封闭引流术能够缩短患者愈合时间,减低患者疼痛,减少脓肿复发,使更多的患者继续哺乳,临床操作简便,适合基层医院应用。Objective To observe the clinical effect of small incision combined with negative-pressure closed drainage in the treatment of mammary abscess during lactation,and to provide reference for clinical treatment in primary hospitals.Methods A total of 146 patients with mammary abscess who were hospitalized in Beijing Luhe Hospital,Capital Medical University from June 2021 to June 2022 were selected as the research objects.According to the random odd and even number method,they were divided into observation group and control group,with 73 cases in each group.The control group was treated with small incision and drainage,and observation group was treated with small incision combined with negative-pressure closed drainage.Incision length,wound healing time,and pain score were compared between two groups;postoperative follow-up was three months,the recurrence and continued lactation rate of two groups were observed.Results There was no significant difference in incision length between two groups(P>0.05);the wound healing time of observation group was shorter than that of control group,and numerical rating scale score was lower than that of control group(P<0.05).The recurrence rate of postoperative abscess in observation group was lower than that in control group,and continued lactation rate was higher than that in control group(P<0.05).Conclusion Small incision combined with negative-pressure closed drainage for mammary abscess during lactation can shorten the healing time of patients,reduce the pain of patients,reduce the recurrence of abscess,and enable more patients to continue breastfeeding.The clinical operation is simple and suitable for primary hospitals.

关 键 词：负压伤口疗法 引流术 乳腺脓肿 微创性 

分 类 号：R655.8[医药卫生—外科学]