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中华乳腺病杂志(电子版) ›› 2019, Vol. 13 ›› Issue (05) : 286 -289. doi: 10.3877/cma.j.issn.1674-0807.2019.05.006

所属专题: 文献

论著

哺乳期乳腺脓肿患者经超声引导下细针穿刺冲洗术后回乳的影响因素分析
何湘萍1, 陈颖1, 马祥君1,(), 丁松涛1, 高海凤1, 高雅军1, 李艳1, 张轶1   
  1. 1. 100080 北京市海淀区妇幼保健院乳腺病防治中心
  • 收稿日期:2017-11-14 出版日期:2019-10-01
  • 通信作者: 马祥君

Factors influencing delactation in lactational breast abscess patients treated by ultrasound-guided aspiration and irrigation

Xiangping He1, Ying Chen1, Xiangjun Ma1,(), Songtao Ding1, Haifeng Gao1, Yajun Gao1, Yan Li1, Yi Zhang1   

  1. 1. Center for Prevention and Treatment of Breast Diseases, Maternal and Child Health Hospital of Haidian District, Beijing 100080, China
  • Received:2017-11-14 Published:2019-10-01
  • Corresponding author: Xiangjun Ma
  • About author:
    Corresponding author: Ma Xiangjun, Email:
引用本文:

何湘萍, 陈颖, 马祥君, 丁松涛, 高海凤, 高雅军, 李艳, 张轶. 哺乳期乳腺脓肿患者经超声引导下细针穿刺冲洗术后回乳的影响因素分析[J/OL]. 中华乳腺病杂志(电子版), 2019, 13(05): 286-289.

Xiangping He, Ying Chen, Xiangjun Ma, Songtao Ding, Haifeng Gao, Yajun Gao, Yan Li, Yi Zhang. Factors influencing delactation in lactational breast abscess patients treated by ultrasound-guided aspiration and irrigation[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2019, 13(05): 286-289.

目的

探讨采用超声引导下细针穿刺冲洗术治疗乳腺脓肿的效果,分析影响治疗后患者回乳的相关因素。

方法

回顾性分析2016年1~12月北京市海淀区妇幼保健院乳腺病防治中心应用超声引导下细针穿刺冲洗术治疗的799例哺乳期乳腺脓肿患者的临床资料。从患者穿刺次数、产后时间、是否使用抗生素和脓肿位置等方面,采用χ2检验进行单因素分析,采用非条件Logistic回归模型分析各因素与回乳的关系。

结果

799例患者中有753例通过超声引导下细针穿刺冲洗术治愈,治愈率为94.2%(753/799)。治疗后回乳的患者有75例,回乳率为9.4%(75/799)。单因素分析显示,回乳与产后时间,抗生素的使用,穿刺次数和脓肿位置有关(χ2=7.159、7.794、39.394、21.243,P=0.007、0.005和P<0.001)。Logistic回归分析显示,穿刺次数(OR=6.442,95% CI:1.851~22.420,P=0.003,)和中央区脓肿(OR=2.643,95% CI:1.480~4.721,P=0.001)是导致回乳的危险因素,而产后时间长是回乳的保护因素(OR=0.540,95% CI:0.315~0.927,P=0.025)。

结论

超声引导下细针穿刺冲洗术治疗哺乳期乳腺脓肿的治愈率高,回乳率低,具有良好的临床应用价值。产后42 d内发病、穿刺次数多和中央区脓肿更容易导致患者回乳。

Objective

To discuss the efficacy of ultrasound-guided aspiration and irrigation in lactational breast abscess patients and analyze the related factors of delactation.

Methods

The clinical data of 799 patients with lactational breast abscess treated by ultrasound-guided aspiration and irrigation in the Center for Prevention and Treatment of Breast Diseases, Maternal and Child Health Hospital of Haidian District from January to December 2016 were retrospectively analyzed. χ2 test was used to analyze the data such as puncture frequency, postpartum time, antibiotics use and location of abscess. The unconditional logistic regression model was used to analyze the relationship between various factors and delactation.

Results

All 799 cases were followed up and 753 cases were cured. The cure rate was 94.2%(753/799). Delactation occurred in 75 cases and the delectation rate was 9.4%(75/799). Single-factor analysis showed that postnatal time, use of antibiotics, number of puncture and location of abscess were associated with delactation(χ2=7.159, 7.794, 39.394, 21.243, P=0.007, 0.005, P <0.001). Multivariate Logistic regression analysis showed that number of puncture (OR=6.442, 95%CI: 1.851-22.420, P=0.003)and abscess in central area (OR=2.643, 95%CI: 1.480-4.721, P=0.001)were the risk factors for delactation, while long postnatal time was a protective factor for delactation (OR=0.540, 95%CI: 0.315-0.927, P=0.025).

Conclusions

Ultrasound-guided aspiration and irrigation is effective for the treatment of lactational breast abscess, with a high cure rate and low delactation rate. The disease in puerperium, multiple punctures and the abscess in the central area are more likely to cause delectation.

表1 哺乳期乳腺脓肿回乳影响因素的Logistic回归分析变量赋值表
表2 哺乳期乳腺脓肿患者回乳与各影响因素的关系[例(%)]
表3 哺乳期乳腺脓肿回乳影响因素的Logistic回归分析(n=799)
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