超声引导下穿刺抽液联合真空拔罐与负压封闭引流术治疗瘘管期浆细胞性乳腺炎的临床疗效对比  

Comparison of clinical efficacy of ultrasound-guided puncture and fluid extraction combined with vacuum cupping and VSD in the treatment of fistula stage plasma cell mastitis

作　　者：杨美宁 王芳 红华 袁嘉 孙跃 孙冉 刘倩 YANG Meining;WANG Fang;HONG Hua;YUAN Jia;SUN Yue;SUN Ran;LIU Qian(Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014040,China;Department of Ultrasound,Inner Mongolia Autonomous Region People's Hospital,Hohhot 010017,China)

机构地区：[1]内蒙古科技大学包头医学院,内蒙古包头014040 [2]内蒙古自治区人民医院超声科,内蒙古呼和浩特010017

出　　处：《分子影像学杂志》2025年第3期284-289,共6页Journal of Molecular Imaging

基　　金：内蒙古自治区科技计划项目(2020GG0086);内蒙古自治区人民医院院内基金项目(201807)。

摘　　要：目的 对比超声引导下穿刺抽液联合真空拔罐与负压封闭引流术(VSD)治疗瘘管期浆细胞性乳腺炎(PCM)的临床疗效。方法 收集2021年1月~2024年1月于内蒙古自治区人民医院就诊的瘘管期PCM病例60例,将其随机分为介入组与VSD组,30例/组,并根据皮肤表面有无破溃将其分为破溃型与未破溃型。介入组超声引导下穿刺抽液及对冲、真空拔罐负压吸引,VSD组瘘管切除术后放置负压引流装置,对比两组治疗方案的临床疗效。结果 介入组与VSD组治疗总有效率、短期复发率、术前及术后VAS评分差异无统计学意义(P>0.05)。介入组病灶初始最大直径、术后瘢痕面积、创口愈合时间小于VSD组;疼痛缓解程度、乳腺外形完整性、患者满意度优于VSD组,治疗时间长于VSD组,差异有统计学意义(P<0.05)。结论 超声引导下穿刺抽液联合真空拔罐与VSD的临床疗效无明显差异,患者满意度更高,可作为有生育要求或重视乳腺外形完整性的瘘管期PCM患者有效治疗方案。Objective To compare the clinical efficacy of ultrasound-guided puncture and aspiration combined with vacuum cupping and vacuum sealing drainage(VSD)in the treatment of fistula stage plasma cell mastitis(PCM).Methods Sixty cases of PCM in fistula stage at Inner Mongolia Autonomous Region People's Hospital from January 2021 to January 2024 were collected and randomized into 30 cases each in the intervention group and VSD group,according to the presence or absence of broken skin surface was categorized into ulcerated and non-ulcerated type.In the intervention group,ultrasound-guided puncture and aspiration and hedging,vacuum cupping and negative pressure suction were performed.A negative pressure drainage device was placed after fistula resection in the VSD group.The clinical efficacy of the two treatment protocols were compared.Results The differences between the intervention group and the VSD group in terms of total effective rate of treatment,short-term recurrence rate,and preoperative and postoperative VAS scores were not statistically significant(P>0.05).The initial maximum diameter of the lesion,postoperative scar area,and wound healing time were smaller in the intervention group than in the VSD group;the degree of pain relief,breast shape integrity,and patient satisfaction were better than in the VSD group,and the treatment time was longer than in the VSD group,and the difference was statistically significant(P<0.05).Conclusion There is no significant difference in clinical efficacy between ultrasound-guided puncture and fluid extraction combined with vacuum cupping and VSD,and patient satisfaction is higher,it can be an effective treatment option for fistula stage PCM patients with fertility requirements or who value the integrity of the breast shape.

关 键 词：浆细胞性乳腺炎 超声引导 穿刺抽液 真空拔罐 负压封闭引流术 

分 类 号：R47[医药卫生—护理学]