超声引导下穿刺置双管冲洗引流治疗哺乳期乳腺脓肿的临床应用

Clinical Application of Ultrasound-Guided Puncture and Double Tube Flushing and Drainage to Treat Breast Abscess During Lactation

目的:探讨超声引导下穿刺置双管冲洗引流治疗哺乳期急性乳腺炎所致乳腺脓肿的临床应用。方法:选择临床诊断急性乳腺炎并超声诊断为单侧乳腺脓肿的70例哺乳期急性乳腺炎患者,在超声引导下穿刺脓腔同时置入两根引流管,一根为进水管,另一根为出水管。抽吸脓液后用生理盐水、抗生素溶液经进水管注入,从出水管引出,配以全身抗炎治疗。结果:70例患者通过超声引导下穿刺置双管冲洗引流脓肿逐渐变小,脓腔闭合,超声复查脓腔消失,临床症状显著好转,经7-10天治疗后全部治愈。结论:采用超声引导下穿刺置双管冲洗引流治疗急性乳腺炎的操作方法简便,创伤小,患者痛苦少,疗程短,治疗效果显著,是治疗急性乳腺炎乳腺脓肿的较好方法。

Objective:To explore the clinical application of ultrasound-guided puncture and double tube flushing and drainage in the treatment of breast abscess caused by acute mastitis during lactation.Methods:Seventy lactating patients with acute mastitis who were clinically diagnosed with acute masti-tis and diagnosed as unilateral breast abscess by ultrasound were selected.Under the guidance of ul-trasound,two drainage tubes were inserted into the abscess cavity at the same time,one was the inlet tube and the other was Outlet pipe.After sucking the pus,it is injected with normal saline and antibi-otic solution through the water inlet pipe,and drawn from the water outlet pipe,with systemic anti-in-flammatory treatment.Results:In 70 patients,the abscesses were gradually reduced and the abscess cavity was closed under ultrasound guidance.The abscess cavity disappeared after ultrasound review.The clinical symptoms were significantly improved,and all were cured after 7-10 days of treatment.Conclusion:Ultrasound-guided puncture and double-tube flushing and drainage treatment of acutemastitis has a simple operation method, less trauma, less patient pain, short treatment course, and sig- nificant therapeutic effect. It is a better treatment method for acute mastitis breast abscess.