CAJ | 학술논문

目的：探讨以高频超声引导穿刺、冲洗联合毫米波治疗哺乳期乳腺脓肿的临床疗效。方法回顾性分析我院乳腺科2007年1月～2012年1月哺乳期乳腺脓肿的临床资料，随机分为研究组A组和对照组B组，研究组A组为136例以高频超声引导经穿刺、冲洗联合毫米波治疗组，对照组B组为98例切开引流换药组。结果研究组A组：125例痊愈，治愈率达91.9％，11例微创治疗无效后改为手术切开。治愈时间为（9.3±6.2）d，疼痛分级为(2.1±1.1)分，花费为（870±602）元；对照组B组：97例痊愈，治愈率达98.98％，1例出现乳瘘。治愈时间为（15.4±7.6）d，疼痛分级为(5.7±1.4)分，花费为（5500±1700）元。研究组治愈时间、疼痛分级及花费明显低于对照组（p<0.01）。结论此方法治疗哺乳期乳腺脓肿创伤小、痛苦小、简便易行且恢复快，是一种有效、安全、可行性强的方法。
목적：탐토이고빈초성인도천자、충세연합호미파치료포유기유선농종적림상료효。방법회고성분석아원유선과2007년1월～2012년1월포유기유선농종적림상자료，수궤분위연구조A조화대조조B조，연구조A조위136례이고빈초성인도경천자、충세연합호미파치료조，대조조B조위98례절개인류환약조。결과연구조A조：125례전유，치유솔체91.9％，11례미창치료무효후개위수술절개。치유시간위（9.3±6.2）d，동통분급위(2.1±1.1)분，화비위（870±602）원；대조조B조：97례전유，치유솔체98.98％，1례출현유루。치유시간위（15.4±7.6）d，동통분급위(5.7±1.4)분，화비위（5500±1700）원。연구조치유시간、동통분급급화비명현저우대조조（p<0.01）。결론차방법치료포유기유선농종창상소、통고소、간편역행차회복쾌，시일충유효、안전、가행성강적방법。
Objective To explore clinical curative effect of the high frequency ultrasound guided puncture, rinse combination milimeter wave therapy breast abscess in lactming. Methods The data of breast abscess in lactming in Mammary gland branch of our hospital from January 2007 to January 2012 were reviewed. They were randomly divided into study group A group and control group B group. Study group included 136 cases with high frequency ultrasound guided puncture, rinse combination milimeter wave treatment,control group included 98 cases of incision and drainage . Results Study group A group: 125 cases were cured, the cure rate was 91.9%, 11 cases of minimaly invasive therapy changed after the operation incision. The healing time was (9.3 ± 6.2) d, (2.1 ± 1.1) pain classification, (870 ± 602) element cost;Control group B group:97 cases were cured, the cure rate was 91.9%,1 case of mammary fistula .The cure time was (15.4 ± 7.6) d, pain grade (5.7 ± 1.4),(5500 ± 1700) element cost.Study group on the cure time, pain rating and cost were significantly lower than the control group (p<0.01).Conclusions This method of therapy breast abscess in lactating with smal trauma, less pain, simple and quick recovery, is an effective, safe, feasible method.