哺乳期乳腺脓肿置管引流治疗方法的临床分析

Clinical analysis of the percutaneous catheter drainage for the treatment of breast abscess during lactation

目的探讨头皮针置管技术在乳腺脓肿引流中的可行性及临床应用优势。方法回顾性分析了2011年8月至2014年6月之间21例行置管引流术(引流组)和39例行传统切开术(传统组)的哺乳期乳腺脓肿女性患者的临床资料和手术治疗效果。结果引流组和传统组两组患者在年龄,发病时间,是否初次分娩等方面无统计学差异。行置管引流术患者的术后恢复时间为6.29±1.93天,行传统切开术的患者术后恢复时间为26.9±12.0天,置管引流手术的恢复时间平均值和恢复时间标准差均小于传统切开术(P<0.001);行置管引流的21例患者中,继续哺乳患者共19例,而39例行传统切开引流患者无一例继续哺乳(P<0.001)。结论头皮针置管技术在恢复时间,美观程度,继续哺乳能力等方面均优于传统引流方法。

Objective To investigate the feasibility and clinical advantage of percutaneous catheter drainage of breast abscesses. Methods The clinical data of 60 patients with breast abscesses during lactations were retrospectively studied from August 2011 to June 2014. Among the 60 cases, 21 patients underwent catheter drainages（catheter group） and the other 39 cases were carried out traditional incisions（traditional operation group）. Results There were no significant differences between two groups in age, onset time, and unipar or not. The postoperative recovery times of the patients who underwent catheter drainages and traditional incisions were 6.29 ±1.93 and 26.9 ±12.0days, respectively, and the former was shorter than the latter（P0.001）. Among the 21 patients who underwent percutaneous catheter drainages, 19 cases continued to suckle children, while the 39 patients operated with traditional incisions had to terminate breast-feeding processes. Conclusion The treatment of percutaneous catheter drainage displays better clinical outcome than the traditional incision in the recovery time, the aesthetic level and the ability to resume breastfeeding.