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留置针穿刺引流结合乳腺疏通治疗在哺乳期乳腺脓肿中的应用

姚育芝 马宏民 潘玉鸿 龙天柱 李茵

临床与病理杂志2018,Vol.38Issue(2):276-281,6.
临床与病理杂志2018,Vol.38Issue(2):276-281,6.DOI:10.3978/j.issn.2095-6959.2018.02.008

留置针穿刺引流结合乳腺疏通治疗在哺乳期乳腺脓肿中的应用

Application of indwelling needle puncture drainage combined with breast dredging therapy in breast abscess during lactation

姚育芝 1马宏民 1潘玉鸿 1龙天柱 1李茵1

作者信息

  • 1. 广州市妇女儿童医疗中心乳腺外科,广州 510623
  • 折叠

摘要

Abstract

Objective: To investigate the treatment effect of breast abscess during lactation on the basis of 14G indwelling needle puncture drainage combined with mammary dredge. Methods: Patients with lactating breast abscess in Guangzhou Women's and Children's Medical Center Breast Department. From July 2010 to July 2013, 181 people were in the control group, using conventional incision and drainage treatment; From August 2013 to August 2016, 185 were set up as observation groups, using 14G indwelling needle puncture drainage combined with breast dredging treatment. Results: The pain VAS scores of the observation group at the time of surgery, second days after surgery were significantly lower than the control group, Fgroup, Ftime and Finteraction in repeated measures ANOVA were statistically significant (P<0.001). The number of dressing changed and cured time of the observation group were significantly lower than the control group (P<0.001). Complications incidence and feeding stopping ratio of the observation group were 4.3% and 33.5%, was significantly lower than the control group 18.2% and 64.6%. Wound cosmetic satisfaction in the observation group was 83.2%, and significantly higher than 40.3% in the control group (P<0.001). Conclusion: 14G indwelling needle puncture drainage combined with breast dredge therapy is an effective strategy. The treatment can effectively reduce the pain, decrease the numbers of dressing changed, shorten the wound healing and hospitalization time.

关键词

乳腺脓肿/哺乳期/穿刺引流/静脉留置针/乳腺疏通治疗

Key words

breast abscess/lactation/puncture drainage/intravenous indwelling needle/breast dredging treatment

引用本文复制引用

姚育芝,马宏民,潘玉鸿,龙天柱,李茵..留置针穿刺引流结合乳腺疏通治疗在哺乳期乳腺脓肿中的应用[J].临床与病理杂志,2018,38(2):276-281,6.

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