银离子敷料治疗脓肿型乳腺导管周围炎疗效的观察

Observation on the therapeutic effect of silver ion dressing in the treatment of patients with abscess type periductal mastitis

目的评估银离子抗菌敷料加速脓肿型乳腺导管周围炎创面愈合的疗效。方法对我院2010年9月-2012年6月间收治的47例确诊为脓肿型乳腺导管周围炎患者随机分组,观察组23例,脓肿切开后采用银离子抗菌敷料换药;对照组24例,采用常规盐水纱条换药,观察记录创面愈合时间、换药总次数、2期手术切口1期愈合率、复发率,结果作统计学分析。结果观察组创面愈合时间(17.66±4.43dVS 31.04±10.16d)、换药次数(10.14±2.97次VS 64.61±7.04次)、2期手术后切口1期愈合率(91.30%VS 62.50%)、复发率(4.35%VS 20.83%)等指标均显著优于对照组。结论银离子抗菌敷料试用于脓肿型乳腺导管周围炎的换药治疗,取得了加速创面愈合、提高2期手术1期愈合率和降低复发率的效果,为长期困扰临床的脓肿型乳腺导管周围炎的治疗提供了新的手段。

Objective To evaluate the effectiveness of the silver dressings enhanced the wound healing of abscess of periductal mastitis. Methods 47 patients who suffered with abscess of periductal rnastitis were randomly divided into two groups, the study groups（ 23 eases）received the silver dressings care, and the controlled groups received the normal gauze dressings care. The period of wound healing, times of the wound care, the Ⅰ phase healing rate of Ⅱ stage operation wound, and the recurrence rate of abscess were noted and statistically analyzed between the two groups. Results The period of wound healing （ 17.66 ± 4.43d versus 31.04 ± 10.16 d）, times of the wound care （ 10.14±2.97 versus 64.61±7.04）, the Ⅰ phase healing rate of Ⅱ stage operation wound（91.30% versus 62.50%）and the recurrence rate of abscess（4. 35% versus 20. 83%）of the study groups were significantly less than the controlled groups. Conclusion It was be certificated that the silver dressings could be used to enhanced the wound healing of abscess of periductal mastitis , reduced the Ⅰ phase healing rate of Ⅱ stage operation wound and the recurrence rate of abscess.