超声引导下置管引流术在哺乳期乳腺脓肿非回乳患者治疗中的应用价值

Clinical effect of ultrasound-guided catheter drainage of breast abscess in lactating non-milk withdrawal patients

目的 探讨超声引导下置管引流术对哺乳期乳腺脓肿非回乳患者治疗的临床应用价值。方法 回顾性分析2018年6月至2019年9月在大连医科大学附属第二医院治疗的乳腺脓肿患者46例,分为置管引流组(32例)和传统切开引流组(14例),在抗感染治疗基础上,比较两组疗效及预后。结果 置管引流组疼痛程度(1.1±0.25)分,传统切开引流组疼痛程度(5.5±1.09)分;置管引流组愈合时间(6.2±2.3)d,传统切开引流组愈合时间(21.7±4.7)d;置管引流组治愈率100%,无复发,传统切开引流组治愈率85.7%,复发率14.3%;两组间以上指标比较,差异均有统计学意义(P<0.05)。传统切口引流组术后2例乳瘘形成,而置管引流组术后3例积乳囊肿形成。结论 超声引导下置管引流术对哺乳期乳腺脓肿非回乳患者具有良好的临床治疗效果,最大程度保证了持续哺乳,值得临床推广应用。

Objective To investigate the therapeutic effect of ultrasound-guided catheter drainage for breast abscess and in lactating non-milk withdrawal patients. Methods The clinical data of 46 patients with breast abscesses treated from Jun 2018 to Sep 2019 were reviewed and analyzed. Among them, the research group consisted of 32 patients with the treatment of ultrasound-guided interventional therapy, while 14 patients in the control group had traditional incision and drainage. On the basis of anti-infective treatment, the therapeutic efficacy and prognosis were compared between the two groups. Results The pain level score of catheter drainage group(research group) was 1.1±0.25, while that of traditional group was 5.5±1.09;the healing time of catheter drainage group was(6.2±2.3) days, while that of traditional group was(21.7±4.7) days. The cure rate in catheter drainage group was 100%, and there was no recurrence, while the cure rate in the traditional group was 85.7% with a recurrence rate of 14.3%. The differences were statistically significant(P<0.05). In comparison of postoperative complications between the two groups, 2 cases of breast fistula developed in the traditional group after operation, while 3 cases of breast cyst formed in the catheter drainage group after operation, the difference between the two groups was P<0.05, the difference is not statistically significant;Conclusion Compared with traditional open surgery, ultrasound-guided interventional therapy is not recurrent in the treatment of breast abscess and has a better clinical impact on lactating non-milk withdrawal women. It can effectively guarantee the greatest extent of continuous breastfeeding, which can be applied and promoted in clinical settings.