火针洞式烙口联合提脓药捻引流技术治疗乳腺脓肿的疗效评价*

摘要

Objective:To observe the clinical efficacy of breast abscess on holed cauterized needling therapy added pus-extracted drug drainage technique.Method:60 cases of breast abscess were randomly divided into two groups:holed cauterized needling therapy added pus-extracted drug drainage technique(treatment group)and the traditional surgical drainage(control group).Compared therapeutic effects and observed the number of dressing of each group,wound healing time,scar length and the postoperative shape of the breast.Result:The number of times in the dressing,healing time,scar length and were lower than the control group(P<0.01).The postoperative shape of the breast for the therapy group keep in shape and there was no skew nipple appearing,while among the controlled group,there was 3 cases losing the beautiful shape and 3 cases nipple skew(P<0.01). Conclusion:Breast abscess on holed cauterized needling therapy added pus-extracted drug drainage technique could reduce the number of dressing changes,shorten healing time,improve the postoperative appearance of breast abscess and protect functional and aesthetic of breast.The treatment of breast abscess was an ideal approach.%　　目的：观察火针洞式烙口联合提脓药捻引流技术治疗乳腺脓肿的临床疗效。方法：将60例乳腺脓肿患者随机分成治疗组和对照组，治疗组采用火针洞式烙口联合提脓药捻引流技术，对照组采用传统手术引流。比较两组的治疗效果并观察两组换药次数、切口愈合时间、术后瘢痕面积、术后乳房美观等指标。结果：治疗组换药次数、切口愈合时间、术后瘢痕面积均低于对照组（P<0.01）。治疗组无一例乳房外观改变及乳头歪斜，对照组乳房外观改变和乳头歪斜各3例。治疗组术后乳房美观明显优于对照组（P<0.01）。结论：火针洞式烙口联合提脓药捻引流技术治疗乳腺脓肿可以减少换药次数，缩短愈合时间，提高术后美观，保护乳房功能，是治疗乳腺脓肿较为理想的方法。