小切口置管负压引流治疗乳腺脓肿的疗效分析

目的探讨小切口置管负压引流方法在乳腺脓肿中的治疗效果。方法回顾性分析40例乳腺脓肿患者,其中15例行小切口置管负压引流治疗,25例行常规手术切开引流治疗,比较两者在住院时间、愈合时间、术后并发症、瘢痕大小、继续哺乳等方面的差异。结果置管组的平均住院时间为(7.9±1.7)d,治愈时间为(12.3±2.5)d,瘢痕长度为(0.5±0.1)cm,手术切开组的平均住院时间为(11.9±3.6)d,治愈时间为(22.8±3.5)d,瘢痕长度为(2.9±0.8)cm,置管组在住院时间、愈合时间、瘢痕大小等方面明显优于手术切开组,两者比较差异有统计学意义(P<0.01)。术后手术切开组并发2例乳瘘,术后均停止继续哺乳;置管组未发生1例乳瘘,术后有8例患者继续哺乳。结论小切口置管负压引流方法在治疗乳腺脓肿中具有微创、简便、安全、疗效明确、并发症少等特点。

Objective To explore the method of small incision drainage tube negative pressure in the treatment of breast abscess. Methods A retrospective analysis of 40 cases of breast abscess patients, including 15 cases of small incision catheter drainage for treatment of incision and drainage in the treatment of 25 cases, routine operation, compared with two in hospitalization time, healing time, postoperative complications, the size of the scar, continue to breastfeed differences. Results The hospitalization time of the catheter group is （7.9±1.7）d,healing time is （12.3±2.5）d, the size of the scar is （0.5±0.1）cm. The hospitalization time of the conventional incision group is （11.9±3.6）d,healing time is （22.8±3.5）d, the size of the scar is （2.9±0.8）cm. Catheter group in hospitalization time, healing time, the size of the scar, operation is superior to conventional incision group, with significant difference between the two groups （P〈0.01）. Postoperative incision group with 2 cases of mammary fistula, continue to breastfeed stop were postoperatively; catheter group did not happen a mammary fistula after operation, 8 patients continued breast-feeding. Conclusion The small incision drainage pipe negative pressure method is minimally invasive, simple, safe, in the treatment of breast abscess in clear curative effect, less complications and other characteristics.