引用本文:肖德权,刘庆仪,肖泽文,傅青青,廖 凤,龚 衍.真空辅助取样系统用于哺乳期乳房脓肿微创治疗的临床分析[J].中国临床新医学,2019,12(9):971-974.
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真空辅助取样系统用于哺乳期乳房脓肿微创治疗的临床分析
肖德权,刘庆仪,肖泽文,傅青青,廖 凤,龚 衍
341000 江西,赣州市妇幼保健院乳腺科(肖德权,肖泽文,傅青青,廖 凤,龚 衍);518100 广东,深圳市第七人民医院甲状腺乳腺外科(刘庆仪)
摘要:
[摘要] 目的 探讨真空辅助取样系统用于哺乳期乳房脓肿微创治疗的可行性。方法 回顾性分析2013-12~2017-06采用真空辅助取样系统微创穿刺、抽脓并置管持续负压引流技术治疗的141例哺乳期乳房脓肿患者的临床资料。结果 本研究共纳入141例哺乳期乳房脓肿患者,3例为双侧乳房脓肿,共计144个脓肿病灶。其中23例因粗针穿刺抽吸困难转为真空辅助取样系统微创穿刺抽脓并置管持续负压引流法。144个脓肿全部一次穿刺置管成功,手术成功率为100%,抽出脓液量为(45.7±13.2)ml,平均负压引流时间为(7.6±2.1)d,平均住院时间为(8.8±3.1)d,治愈率为100%。随访1个月未见复发。结论 真空辅助取样系统微创穿刺抽脓并置管持续负压引流技术可用于哺乳期乳房脓肿治疗且手术成功率高,引流彻底,恢复快,节约了医疗资源,易于为患者接受,值得应用推广。
关键词:  哺乳期  乳房脓肿  真空辅助取样系统  引流
DOI:10.3969/j.issn.1674-3806.2019.09.10
分类号:R 605
基金项目:江西省卫健委科技计划项目(编号:20154054)
Clinical study of minimally invasive treatment on lactational breast abscess by Vacuum Assisted Sampling System
XIAO De-quan, LIU Qing-yi, XIAO Ze-wen, et al.
Department of Breast Surgery, Ganzhou Maternity and Child Health Hospital, Jiangxi 341000, China
Abstract:
[Abstract] Objective To explore the feasibility of Vacuum Assisted Sampling System for minimally invasive treatment of breast abscess during lactation. Methods The clinical data of 141 cases of breast abscess treated with minimally invasive puncture, abscess aspiration and continuous negative pressure drainage using Vacuum Assisted Sampling System from December 2013 to June 2017 were retrospectively analyzed. Results A total of 141 patients with breast abscesses during lactation were selected into the study, 3 cases of which were bilateral breast abscesses, a total of 144 lesions. Twenty-three cases were converted to Vacuum Assisted Sampling System with minimally invasive puncture and aspiration combined with continuous negative pressure drainage due to difficulty of aspiration by thick needle puncture. All the 144 abscesses were successfully punctured and catheterized at one time, and the success rate of the operation was 100%. The amount of abscess extracted was (45.7±13.2)ml. The mean time of negative pressure drainage was (7.6±2.1)days, and the mean time of hospital stay was (8.8±3.1)days. The cure rate was 100%. No recurrence was found after a follow-up of one month. Conclusion The Vacuum Assisted Sampling System with minimally invasive puncture and abscess aspiration combined with continuous negative pressure drainage can be used for breast abscess during lactation with high success rate, complete drainage and quick recovery. It can save medical resources, and is easy to be accepted by the patients. This method is worthy of clinical use and promotion.
Key words:  Lactation  Breast abscess  Vacuum Assisted Sampling System  Drainage