Abstract:

Objective

To investigate the clinical application of ultrasound-guided minimally invasive intervention and rinsing with sensitive antibiotics in treatment of breast abscess.

Methods

Totally 88 patients with lactational breast abscess in Jinan Maternal and Child Care Hospital from January 2014 to July 2015 were divided into experimental group (n=44) and control group (n=44) according to their treatment scheme. The experimental group received ultrasound-guided multidirectional negative pressure drainage and rinsing with sensitive antibiotics and the control group received traditional incision and drainage. t test was used to compare wound healing time and times of dressing change between two groups. χ² test was used to compare the difference between two groups in pain scale, postoperative breast-feeding rate and incidence of postoperative breast fistula. Meanwhile, the pathogen distribution of lactational breast abscess was also analyzed.

Results

There were significant differences in wound healing time [(10.70±2.90) d vs (22.70±6.55) d] and times of dressing change (5.27±0.22 vs 15.43±0.55) between the experimental group and control group (t =-17.027, -11.102, all P ＜0.050). The pain scale, postoperative breast-feeding rate and incidence of postoperative breast fistula also indicated a significant difference between two groups (χ² =17.634, 15.529,14.864, all P＜0.050). The pathogen of lactational breast abscess was mainly staphylococcus aureus (48/56,85.72%).

Conclusion

Ultrasound-guided multidirectional negative pressure drainage and rinsing with sensitive antibiotics can decrease the pain and shorten healing time in patients with breast abscess, worthy of clinical application.

Key words: Mastitis, Abscess, Ultrasonography,interventional, Negative-pressure wound therapy