中国现代手术学杂志2013，Vol.17Issue(1)：21-24,4.
环乳晕切口应用于乳腺脓肿引流术的临床研究
A Clinical Study on Breast Abscess Drainage via Periareolar Incision for Breast Abscess
摘要
Abstract
Objective To explore the application of periareolar incision in the breast abscess incision and drainage (AID) for breast abscess. Methods The clinic data of 48 women with breast abscess admitted from June 2005 to May 2012 were analyzed retrospectively. All 48 cases were treated by AID. The circum-areo-la incision was applied in 9 cases (group A, n = 9) with breast abscess located in periareola site, and non-cir-cumareola incision was applied in the other 39 cases ( group B, n = 39 ) with breast abscess located in non-areo-la site. The treatment of purulent discharge, irrigating, gauze-filled drainage, change of dressing, antibiotic drug administer was applied in both two groups. The operative duration, intro-operative blood loss, incision healed duration, postoperative hospital stay, the patients with delayed suturation and scar cosmetic result were compared between two groups. Results There was no statistic difference in operative time and intra-operative blood loss between two groups( (28. 8 ± 5. 6) min vs. (25. 8 ± 3. 9 min) , (110. 3 ± 15. 2) ml vs. (99. 5 ± 14. 6) ml, P >0. 05 ) ). Sufficient purulent discharge and blood-supply of nipple and areola was obtained in all 48 patients. No significant difference was found in incision healing time and hospitalized time after AID between two groups ((15.7±3.4)d vs. (25.3+2.9) d, (16.4 ±3.0)d vs. (26.4±2.7) d,P>0.05)). The cases performed delayed suturation was 5 cases in group A, and was obviously less than 39 of group B (P<0.05). The incisions were healed in stage II in both two groups. A total of 48 cases were followed up for 6 to 54 months with an average of 24 months. No chronic infection and recurrence was found 6 months after the AID. The degree of satisfaction on cosmetic result in group A was remarkable higher than that of group B (66.7% vs. 25. 6% , P < 0. 05 ). Conclusion The reasonable application of circum-areola incision can achieve sufficient drainage, less delayed suturation and satisfied cosmetic result in AID for breast abscess.关键词
引流术/切口/脓肿/乳房/乳晕Key words
drainage/ incision/ abscess/ breast/ areola of breast分类
医药卫生引用本文复制引用
刘小丰,胡海涛,张敏,周茜,陈飞,马晶晶,陆澄..环乳晕切口应用于乳腺脓肿引流术的临床研究[J].中国现代手术学杂志,2013,17(1):21-24,4.基金项目
南京市卫生青年人才培养工程 （）
