全身抗感染治疗下给予穿刺冲洗和切开引流两种术式治疗哺乳期乳腺脓肿的临床疗效观察

Clinical observation of puncture irrigation and incision drainage for breast abscess during lactation under systemic anti-infection therapy

目的研究全身抗感染治疗下穿刺冲洗、切开引流治疗哺乳期乳腺脓肿的价值,为临床治疗提供必要指导.方法随机将2018年5月-2019年5月我院40例哺乳期乳腺脓肿患者分为实验组(20例,应用B超引导下穿刺冲洗治疗)、对照组(20例,应用切开引流治疗).对比两组患者各项临床指标.结果实验组术中出血量为(9.02±1.05)mL、脓腔愈合时间为(10.57±2.38)d、术后VAS评分为(1.67±0.55)分、瘢痕长度为(1.12±0.48)mm,均低于对照组,差异具备统计学研究意义(P<0.05).结论全身抗感染治疗条件下,哺乳期乳腺脓肿患者接受B超引导下穿刺冲洗治疗,疗效确切.

Objective To study the value of puncture,irrigation,incision and drainage in the treatment of breast abscess in breast-feeding period under systemic anti-infection therapy,and to provide necessary guidance for clinical treatment.Methods 40 cases of breast abscess in our hospital from May 2018 to May 2019 were randomly divided into experimental group(20 cases were treated with B-ultrasound-guided puncture and irrigation)and control group(20 cases were treated with incision and drainage).The clinical indicators of the two groups were compared.Results The bleeding volume during operation,the healing time of pus cavity,the VAS score after operation and the length of scar in the experimental group were(9.02+1.05)mL,10.57+2.38)d,1.67+0.55 and(1.12+0.48)mm,respectively,lower than those in the control group,with statistical significance(P<0.05).Conclusion Under the condition of systemic anti-infection therapy,breast abscess patients received B-ultrasound-guided puncture and irrigation treatment,and the curative effect is definite.