乳腺脓肿抽吸与切开引流的比较

Fardhus, A. Sharfuzzaman, Nayeem Dewan, Dipak Chandra Kirttania, A. Hasan, Joy Zakharia Rab
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引用次数: 1

摘要

背景:乳腺脓肿被定义为一种急性炎性肿块,在切口/抽吸处产生脓。发生频率与妊娠高度相关,是由于婴儿在母乳喂养时乳头破裂,以及由于护理技术不当和乳房排空不完全导致细菌定植所致。目的:比较传统的切开引流与针吸治疗乳腺脓肿的疗效。方法:对2014年1月至2014年12月在巴里萨尔SherE- Bangla医学院附属医院普外科进行对比研究。选取50例年龄在20-40岁之间,超声检查诊断为乳腺脓肿,脓肿直径为5′7 cm的女性患者,经书面同意后纳入研究。其中25例行乳腺脓肿抽吸术(A组),25例行切口引流术(B组)。结果:A组女性平均年龄23.42岁,B组女性平均年龄23.31岁。91%的病例处于哺乳期。金黄色葡萄球菌是哺乳期和非哺乳期患者中常见的分离菌,27例(54%)。其中抽吸组17例(56.67%)。切开组10例(33.33%)。与切口引流相比,针吸治疗的平均愈合时间和美容效果显著(p =0.001)。研究期间针吸组乳腺脓肿无复发。切口引流组复发率为3.3%。结论:乳腺脓肿直径为5 ~ 7cm的患者可采用针吸治疗,美容效果良好。外科杂志(2018)Vol. 22 (1): 11-15
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison between aspiration and incision and drainage of breast abscess
Background: Breast abscess is defined as an acute inflammatory lump which yields pus on incision/aspiration. The frequency of occurrence is highly related to pregnancy and caused due to nipple cracking by a child during breast feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Objective: The present study compares the outcome and effectiveness of traditional treatment incision and drainage against needle aspiration in the treatment of breast abscess. Methods: This is a comparative study carried out in department of general surgery, SherE- Bangla Medical College Hospital, Barisal between January 2014 and December 2014. 50 female patients of age between 20-40 years and diagnosed breast abscess with abscess size of 5'7 cm in diameter on ultrasonography were included in the study after taking written consent form. Of these 25 had undergone aspiration of the breast abscess (group A) and 25 had undergone incision and drainage (group B). Results: The mean age of the female patients in group A was 23.42 years and in Group B was 23.31. 91% of the cases were lactating. S. aureus was the common organism isolated in both lactating and non-lactating cases, encountered in 27 patients (54%). Out of that were in the aspirated group 17patients (56.67%). 10 patients were in the incised group (33.33%). The mean healing time and cosmetic outcome was significantly (p =0.001) very good in patients treated with needle aspiration compared to incision and drainage. There was no recurrence of breast abscess observed in needle aspiration group during the study. There was 3.3% recurrence rate observed in the incision and drainage group. Conclusion: Breast abscess in patients with diameter of 5'7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome. Journal of Surgical Sciences (2018) Vol. 22 (1): 11-15
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