CAJ | 학술논문

目的：比较超声引导穿刺置管引流与常规手术切开引流治疗乳腺脓肿的临床疗效。方法选取71例乳腺脓肿患者，随机分成超声引导置管引流组（35例，简称置管组）和常规手术切开引流组（36例，简称常规组），对两组手术时间、术中出血量、体温恢复正常时间、血象恢复正常时间、疼痛评分、换药次数、脓腔愈合时间、瘢痕长度、切口外观满意度等方面进行比较。结果置管组的手术时间（30．54±12．17） min、术中出血量（6．13±1．83） ml，均少于常规组（39．28±14．36） min，（14．27±3．25） ml，差异有统计学意义（ P＜0．01）；两组术后体温恢复正常时间和血象恢复正常时间比较，差异无统计学意义；置管组在疼痛评分、换药次数、脓腔愈合时间、瘢痕长度和切口外观满意度方面明显优于常规组（P＜0．01）；两组术后并发症发生率和复发率比较，差异无统计学意义。结论对液化相对完全的乳腺脓肿，经皮置管引流可缩短疗程，减轻痛苦，保护乳房美观，值得推广。
목적：비교초성인도천자치관인류여상규수술절개인류치료유선농종적림상료효。방법선취71례유선농종환자，수궤분성초성인도치관인류조（35례，간칭치관조）화상규수술절개인류조（36례，간칭상규조），대량조수술시간、술중출혈량、체온회복정상시간、혈상회복정상시간、동통평분、환약차수、농강유합시간、반흔장도、절구외관만의도등방면진행비교。결과치관조적수술시간（30．54±12．17） min、술중출혈량（6．13±1．83） ml，균소우상규조（39．28±14．36） min，（14．27±3．25） ml，차이유통계학의의（ P＜0．01）；량조술후체온회복정상시간화혈상회복정상시간비교，차이무통계학의의；치관조재동통평분、환약차수、농강유합시간、반흔장도화절구외관만의도방면명현우우상규조（P＜0．01）；량조술후병발증발생솔화복발솔비교，차이무통계학의의。결론대액화상대완전적유선농종，경피치관인류가축단료정，감경통고，보호유방미관，치득추엄。
Objective To compare the clinical effect of ultrasound-guided catheterization drainage and traditional surgical drainage in the treatment of breast abscess .Methods Seventy-one patients with breast abscess were randomly divided into the ultra-sound guided percutaneous catheterization drainage group (35 cases, the tube group), and the incision drainage group (36 cases, the routine operation group ) .The items such as operation time , amount of bleeding , body temperature , incidence of postoperative compli-cations rates were analysed and compared between the two groups .Results The operation time and the amount of bleeding of the cath-eter group operation was less than in the conventional group (30.54 ±12.17) min vs (39.28 ±14.36) min; (6.13 ±1.83) ml vs (14.27 ±3.25) ml.The difference was statistically significant (P<0.01).The body temperature and WBC recovering to normal dur-ing same time in the conventional therapy group were same to the percutaneous drainage group .The items in the percutaneous drainage group such as pain index , dressing time, pus cavity healing time and length of incision scar were superior to those in the conventional therapy group(P<0.01).The incidence of postoperative complications and recurrence rates in the percutaneous drainage group were similer to those in the conventional therapy group (P>0.05).Conclusions Percutaneous catheterization drainage is a good way to treat the completely liquefacient breast abscess , which can shorten the course of treatment , relieve pain and protect the breast appear-ance.