微创小切口联合负压引流治疗乳腺脓肿

Treatment of breast abscess by minimally invasive incision combined negative pressure drainage

目的探讨微创小切口联合负压引流在乳腺脓肿手术的应用。方法选自我院2014年1月~2015年9月我院64例乳腺脓肿患者,其中34例（观察组）沿乳晕或乳房下皱襞行微创美容切口治疗,30例行常规手术切口（对照组）治疗。结果 64例患者经治疗后均痊愈出院,在换药次数、愈合时间、疼痛分级评分和瘢痕长度的比较中,观察组均小于对照组,观察组的继续哺乳率明显高于对照组。结论微创小切口负压引流治疗乳腺脓肿,能明显患者缩短伤口的长度及愈合时间,具有痛苦轻、微创、美容等特点,适合临床推广应用。

Objective To investigate the application of minimally invasive incision combined negative pressure drainage in the surgeries of breast abscess. Methods A total of 64 patients with breast abscess admitted in our hospital from Jan 2014 to Sep 2015 were selected. 34 patients（observation group） adopted the procedure of minimally modified invasive along mammary areola and inframammary fold and 30 patients（control group） adopted the regular surgical incision. Results All the 64 patients were recovered and discharged from the hospital after treatment. The observation group had smaller indexes than control group including frequency of dressing changes, healing time, pain grading scores and scar length. The continue lactation rate of observation group was significantly higher than that of control group. Conclusion The minimally invasive incision combined negative pressure drainage in the treatment of breast abscess can shorten the length of incision and healing time significantly, alleviate patients＇ pain. It has minimally invasive and cosmetic feature and is suitable for popularization and application in clinic.