摘要
目的研究彩超引导下穿刺抽吸冲洗注入康复新液治疗哺乳期乳腺脓肿的临床疗效。方法120例哺乳期乳腺脓肿患者,随机分为对照组和观察组,每组60例,对照组采用常规切开引流治疗,观察组采用彩超引导下穿刺抽吸冲洗并注入康复新液治疗,观察2组临床疗效及术中出血量、术后换药次数等临床指标,并随访3个月,比较2组病情复发及继续哺乳情况。结果2组临床总有效率比较差异无统计学意义(P>0.05)。观察组术中出血量、术后换药次数、术后VAS评分、创口脓腔愈合时间、瘢痕长度均少于对照组(P<0.05)。观察组术后并发症率低于对照组(P<0.05)。随访3个月,观察组术后病情复发率低于对照组(P<0.05);观察组术后可继续哺乳率高于对照组(P<0.05)。结论彩超引导下穿刺抽吸冲洗并注入康复新液与切开引流治疗哺乳期乳腺脓肿的临床疗效相当,但彩超引导下穿刺抽吸冲洗可规避传统切开引流治疗诸多弊端,有助于促进患者早期康复,可取得满意的预后效果。
Objective To investigate the therapeutic effects of color ultrasound guided puncture,aspiration,rinse,incision and drainage and Kangfuxin injection in treatment of lactation mammary abscess.Methods A total of 120 patients with lactation breast abscess were randomly divided into control group and observation group,with 60 cases in each group.The patients in control group were treated by incision and drainage,however,the patients in observation group were treated by color ultrasound guided puncture,aspiration,rinse,incision and drainage and Kangfuxin injection,with 3-months follow up for both groups.The clinical curative effects,intraoperative blood loss,postoperative dressings frequency,relapse incidence and continue breastfeeding status were observed and compared between the two groups.Results There was no significant difference in total effectice rate between the two groups(96.7%vs 93.3%,P<0.05).The intraoperative blood loss,postoperative frequency of dressing change,postoperative VAS scores,wound abscess healing time and scar length in observation group were significantly less than those in control group(P<0.05).Moreover the incidence rate of postoperative complications in observation group was significantly lower than that in control group(P<0.05),and the postoperative recurrence rate in observation group was significantly lower than that in control group(P<0.05).In addition the continued breastfeeding rate after surgery in observation group was 81.7%,which was significantly higher than that(26.7%)in control group(P<0.05).Conclusion The therapeutic effects of color ultrasound guided puncture,aspiration,rinse,incision and drainage and Kangfuxin injection in treatment of lactation mammary abscess are similar to those by simple incision and drainage,but the former is superior to the latter in many aspects,the former can promote the early recovery of patients and achieve satisfactory prognosis.
作者
杨晓辉
孙斌
杨万和
康永利
马海波
赵海军
YANG Xiaohui;SUN Bin;YANG Wanhe(Department of Ultrasound Examination,The First Hospital of Zhangjiakou City,Hebei,Zhangjiakou 075000,China)
出处
《河北医药》
CAS
2019年第22期3458-3461,共4页
Hebei Medical Journal
基金
河北省医学科学重点研究课题计划(编号:20191724)
关键词
彩超引导
穿刺抽吸冲洗
康复新液
切开引流
哺乳期
乳腺脓肿
color ultrasound guidance
puncture aspiration and irrigation
Kangfuxin liquid
incision and drainage
lactation
breast abscess
