摘要
目的通过使用穿刺置管、持续冲洗引流术的微创手段治疗急性乳腺炎并脓肿形成的患者并评价其效果。方法观察组48例采用一次性使用双腔中心静脉导管的组装器械,对有明确脓肿形成的患者进行脓肿穿刺置管排脓,双腔分别接输液器持续冲洗及普通引流;对照组31例使用传统切开手术方式。结果两组在手术时间、VAS疼痛评分、术后换药次数、脓腔愈合时间、术后疤痕等方面存在显著差异,观察组临床效果优于对照组(P<0.001)。结论利用一次性使用双腔中心静脉导管行乳腺脓肿穿刺置管,并持续引流有利于有明确脓肿形成的乳腺炎患者的快速康复。
Objective To evaluate the clinical effect of the acute mastitis patients with abscesses by（ percutaneous cather drainage） PTGD and continuous irrigation drainage. Methods The mastitis patients of identified mammary abscess formation were divided into two groups. 48 cases in observation group got the abscess punctured by assembled appliance with a disposable double cavity central venous catheters. One of the double cavities of the central venous catheters was connected with infusion set for continuous irrigation and the other for usual drainage. 31 cases in control group only received conventional abscess incision drainage.Results There were significant differences in operation time,VAS score,the times of dress change,the time of abscess cavity healing and the appearance of surgical scar（ P〈 0. 001）. And the observation group showed significant superiority. Conclusions Using of the assembled appliance with a disposable double cavity central venous catheters for PTGD and continuous irrigation drainage is an effective method which can promote the rehabilitation of the acute mastitis patients with identified abscess formation.
出处
《中国现代手术学杂志》
2016年第3期161-163,共3页
Chinese Journal of Modern Operative Surgery
