摘要
目的 观察超声引导穿刺置管引流与传统手术引流治疗乳腺脓肿的临床疗效,并对其进行比较,评价各自的临床应用价值.方法 64例乳腺脓肿患者根据自愿分成两组：超声引导穿刺置管引流治疗组（A组）和传统手术引流治疗组（B组）.比较两组的治疗效果并观察各组患者切口愈合时间,换药次数,疼痛分级,瘢痕长度以及继续哺乳的例数等指标.结果 超声引导穿刺置管引流组手术切口愈合时间（13.4±4.2）d,换药次数（4.3±1.5）次,疼痛程度评分（3.4±1.3）,瘢痕长度（1.3±0.7）cm,脓腔愈合时间（10.7±5.4）d,78.1%的患者能继续哺乳,上述方面均优于传统手术引流治疗组（P＜0.01）.结论 超声引导穿刺置管引流治疗乳腺脓肿可以缩短愈合时间,减少换药次数,减轻疾病痛苦,保护乳房功能和美观,是治疗乳腺脓肿较为理想的方法.
Objective To observe the clinical effect of ultrasound - guided catheter drainage and traditional surgical drainage in the treatment of breast abscess. Methods A total of 64 patients with breast abscess were divided into two groups according to the patients＇will：the ultrasound guided catheter drainage group （group A） and traditional surgical drainage group （group B）. Wound healing time and number of dressing change, pain rating, scar length and the number of patients to continue breast - feeding and other indicators were compared between the two groups. Results The wound healing time [ （ 13.4 ± 4.2） d ] and number of dressing change [ （4.3 ± 1.5 ） ], pain score [ （3.4 ± 1.3 ） ], scar size [ （1.3 ± 0.7 ） cm ], abscess healing time [ （10.7 ± 5.4） d] and the percentage of the patients to recover breast- feeding（78.1% ） in the group A were improved greatly as compared with those in the group B （P 〈 0.01 ）. Conclusion Ultrasound guided catheter drainage in the treatment of breast abscess can shorten healing time, reduce the number of dressing change and protect the breast function and appearance. It is an ideal treatment method for breast abscess.
出处
《临床外科杂志》
2010年第12期811-813,共3页
Journal of Clinical Surgery
关键词
乳腺脓肿
超声引导
穿刺
引流
breast abscess
ultrasound guidance
puncture
drainage
