CAJ | 학술논문

目的：评价超声定位穿刺与切开引流术治疗乳腺脓肿的效果。方法选取2012年1月至2013年10月该院乳腺脓肿患者79例，其中39例采用超声引导穿刺冲洗治疗（穿刺组）；40例采用传统切开引流手术治疗（切开引流组）。比较两组愈合时间、换药次数、切口疤痕等各方面情况。结果两组患者全部治愈。两组红肿消退时间、愈合时间、乳漏发生率、乳头乳晕感觉障碍发生率以及复发率差异均无统计学意义（P＞0．05）；穿刺组换药次数[（1．33 ± 0．73）次]少于引流组[（12．23 ± 2．46）次]，差异有统计学意义（ P＜0．01）；穿刺组疼痛程度低于切开引流组，差异有统计学意义（ P＜0．01）；治疗后，穿刺组继续哺乳的比例为74．36％，高于切开引流组的15．00％，差异有统计学意义（ P＜0．01）；穿刺组存在瘢痕的比例为0．00％，低于切开引流组的77．50％，差异有统计学意义（ P＜0．01）。结论超声引导下穿刺冲洗治疗乳腺脓肿具有创伤小、对哺乳影响小、术后保持乳房美观的优势，值得临床推广使用。
목적：평개초성정위천자여절개인류술치료유선농종적효과。방법선취2012년1월지2013년10월해원유선농종환자79례，기중39례채용초성인도천자충세치료（천자조）；40례채용전통절개인류수술치료（절개인류조）。비교량조유합시간、환약차수、절구파흔등각방면정황。결과량조환자전부치유。량조홍종소퇴시간、유합시간、유루발생솔、유두유훈감각장애발생솔이급복발솔차이균무통계학의의（P＞0．05）；천자조환약차수[（1．33 ± 0．73）차]소우인류조[（12．23 ± 2．46）차]，차이유통계학의의（ P＜0．01）；천자조동통정도저우절개인류조，차이유통계학의의（ P＜0．01）；치료후，천자조계속포유적비례위74．36％，고우절개인류조적15．00％，차이유통계학의의（ P＜0．01）；천자조존재반흔적비례위0．00％，저우절개인류조적77．50％，차이유통계학의의（ P＜0．01）。결론초성인도하천자충세치료유선농종구유창상소、대포유영향소、술후보지유방미관적우세，치득림상추엄사용。
Objective To evaluate effect and safety of ultrasound guided puncture and washing with sterile normal saline in treating breast abscess .Methods From Jan 2012 to Oct 2013 ,79 patients with breast abscess were divided into two groups ,39 cases were received puncture guided with ultrasound treatment and washing with sterile normal saline ,while 40 patients were received the traditional abscess incision drainage .Swelling subsiding time ,the healing time ,local scar and other efficacy variables of the two groups were compared .Results All patients of the two groups were cured completely .There was no difference between the two groups in swelling subsiding time ,the heal‐ing time ,galactorrhea ,nipple sensory disturbance and reoccurrence rate (P>0 .05) .Frequency of refreshing bandage of ultrasound guided puncture group (1 .33 ± 0 .73)was lower than that of the traditional abscess incision drainage group(12 .23 ± 2 .46)(P<0 .01) .The degree of pain of ultrasound guided puncture group was lower than that of the traditional abscess incision drainage group (P<0 .01) .After treatment ,the percentage of breastfeeding again of the ultrasound guided puncture group(74 .36% ) was higher than that of the traditional abscess incision drainage group (15 .00% ) ,while less local scars were found in ultrasound guided puncture group (0 .00% )than in abscess incision drainage group(77 .50% )(P<0 .01) .Conclusion Puncture guided with ultrasound for breast abscess is safe ,conven‐ient and reliable for small trauma ,faster recovery and free of scars .