超声引导置管引流与常规手术切开引流治疗乳腺脓肿疗效比较

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Abstract 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 ultrasound 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 complications rates were analysed and compared between the two groups. Results The operation time and the amount of bleeding of the catheter 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 during 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 appearance.

Key words： breast abscess ultrasound guided percutaneous catheterization drainage

Received: 09 April 2014

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2014/V25/I9/882

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