CAJ | 학술논문

目的探讨超声引导下乳腺微创旋切手术在治疗乳腺脓肿中的临床价值.方法 2010年6月至2011年12月收治的68例乳腺脓肿,哺乳期妇女44例,非哺乳期妇女24例,均在自愿前提下接受微创旋切手术加置管冲洗引流术.结果 66例均获临床治愈,切口约4 mm,手术时间约30 min,手术创伤小,外形满意.愈合出院时间7～9d,2例哺乳期乳腺脓肿术后1个月复发,遂行切开引流手术.随访6 ～12个月,均无复发.结论超声引导下乳腺微创旋切术治疗乳腺脓肿切口小而隐蔽,乳房表面无瘢痕,外形无影响,手术效果好,术后愈合快,复发率低,且避免长期换药,是治疗乳腺脓肿的一种理想、有效的手术方法.
목적 탐토초성인도하유선미창선절수술재치료유선농종중적림상개치.방법 2010년6월지2011년12월수치적68례유선농종,포유기부녀44례,비포유기부녀24례,균재자원전제하접수미창선절수술가치관충세인류술.결과 66례균획림상치유,절구약4 mm,수술시간약30 min,수술창상소,외형만의.유합출원시간7～9d,2례포유기유선농종술후1개월복발,수행절개인류수술.수방6 ～12개월,균무복발.결론 초성인도하유선미창선절술치료유선농종절구소이은폐,유방표면무반흔,외형무영향,수술효과호,술후유합쾌,복발솔저,차피면장기환약,시치료유선농종적일충이상、유효적수술방법.
Objective To evaluate the clinical value of ultrasound-guided minimally invasive treatment of breast abscess compared with conventional surgery.Methods From Jun.2010 to Dec.2011,68 patients with breast abscess were diagnosed and hospitalized,including 44 cases of lactation women and 24 cases of nonlactation women.All the patients voluntarily received ultrasound-guided breast minimally invasive treatment and catheter flushing of the abscess.Results 66 cases with breast abscess were clinically cured.The length of the incision was about 4 mm and the operation during was about 30 mins.The patients had little trauma and satisfactory appearance.The treatment time was 7-9 days.2 cases with breast abscess during lactation period recurred 1 month after operation and received incision and drainage operation.There was no recurrence during the follow-up of 6 to 12 months.Conclusions The ultrasound-guided minimally invasive treatment of breast abscess has good operation effect and can shorten operation time.The patients have satisfactory appearance,low recurrence rate and can avoid long-term dressing.The method is an ideal and effective treatment of breast abscess.