乳晕弧形切口联合负压引流术在乳腺脓肿治疗中的应用

The application of areola arc incision combined with negative pressure drainage in the treatment of breast abscess

目的探讨乳晕弧形切口联合负压引流术治疗乳腺脓肿的临床疗效。方法选择2012年6月至2015年6月因哺乳期乳腺脓肿在江津区中心医院行传统脓肿切开引流术(切开组,n=35),以及行乳晕弧形切口联合负压引流术(负压组,n=35)治疗乳腺脓肿的患者,对2种手术方式在治疗乳腺脓肿的疗效进行对比研究。结果与切开组比较,负压组具有术后切口美观、术后疼痛少、术后恢复较快及住院时间短等优点(P<0.05),但2组治愈率及3个月内复发率比较,差异无统计学意义(P>0.05)。结论乳晕弧形切口联合负压引流术治疗乳腺脓肿优于传统脓肿切开引流术,值得临床广泛推广。

Objective To study the efficacy of areola arc incision combine with negative pressure drainage in the treatment of breast abscess. Methods Retrospective chart reviewed of 70 patients with breast abscess for breast procedures during Jun. 2012 to Jun. 2015 were included. Among of them,35 patients were treated with traditional abscess incision drainage and 35 patients were treated with areola arc incision combine with negative pressure drainage. The curative effects of the two kinds of operation methods in the treatment of breast abscess were compared. Results Compared with the traditional abscess incision drainage,the areola arc incision combine with negative pressure drainage with beautiful postoperative incision, less postoperative pain, rapid recovery and shorter hospitalization time,etc（P〈0. 05）. There was no significant difference in the cure rate and the recurrence rate within 3 months（P〉0.05）. Conclusion In the treatment of breast abscess,the areola arc incision combine with negative pressure drainage is still worth clinical promotion.