目的

探讨麦默通在急性乳腺脓肿治疗中的应用价值。

方法

2010 年6 月至2013 年7 月岳阳市第一人民医院乳腺科共收治急性乳腺脓肿172 例,其中脓肿切开引流术(切开引流组)93 例,超声引导下麦默通置管引流组(麦默通组)79 例。 术后记录伤口愈合时间,对治疗过程中的疼痛程度采用数值评定量表(NRS)进行评分,并对两组患者的乳房外观满意度及复发风险进行随访。 采用Wilcoxon秩和检验比较麦默通组与切开引流组的脓肿痊愈时间、乳房外观满意度和治疗过程中的疼痛程度,采用χ² 检验对两组患者的复发风险进行比较。

结果

麦默通组脓肿治愈时间较切开引流组短[M(Q_R): 13(4) d 比21(12) d, Z=-1.748, P=0.040];麦默通组患者对术后乳房外观的满意度高于脓肿切开引流组(Z=-3.104,P=0.002);麦默通组治疗中的疼痛程度较脓肿切开引流组轻(Z=-2.615,P=0.009);麦默通组的复发风险与切开引流组相比,差异无统计学意义[10.13%(8/79)比6.45%(6/93),χ²=0.772,P=0.380]。

结论

麦默通治疗乳腺脓肿操作简单,术后恢复快,在临床上具一定的应用价值。

Objective

To explore the application value of the Mammotome system in the treatment of acute breast abscess.

Methods

A total of 172 patients with acute breast abscess had been treated in the First People’s Hospital of Yueyang City from June 2010 to July 2013. Among them,93 patients were treated with the traditional incision drainage (incision drainage group), and 79 patients were treated with catheter drainage under ultrasonic guidance using the Mammotome system (Mammotome group). Record the wound healing time after surgery, evaluate the intraoperative pain using numerical rating scale(NRS), and investigate the patients’satisfaction with breast appearance and the risk of recurrence in the follow-up of two groups. The wound healing time, the intraoperative pain and the satisfaction with breast appearance between the Mammotome group and the incision drainage group were compared by Wilcoxon rank sum test. The risk of recurrence was compared by χ² test between two groups.

Results

The wound healing time in the Mammotome group was shorter than that in incision drainage group[M(Q_R): 13(4)d vs 21(12)d, Z=-1.748, P=0.040]. Patients in the Mammotome group were more satisfied with their breast appearance compared with incision drainage group (Z=-3.104,P=0.002). The intraoperative pain in Mammotome group was lower than that in incision drainage group (Z=-2.615,P=0.009). The risk of recurrence between the two groups showed no significant difference[10.13%(8/79) vs 6.45%(6/93), χ²=0.772,P=0.380].

Conclusion

The Mammotome system catheter drainage in the treatment of breast abscess has the advantages of simple operation and quick recovery, worthy of clinical application.