临床研究(Clinical Research)

麦默通微创旋切术在乳腺深部脓肿治疗中的应用

Published at: 2015年第24卷第11期

刘远坤 1 , 黄晓宇 1 , 翁玉英 1 , 梁雪霞 1
1 广东省茂名石化医院 乳腺外科,广东 茂名 525011
通讯作者 远坤 刘 Email: 864762175@qq.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.11.020
基金:

摘要

目的:探讨麦默通微创旋切术在乳腺深部脓肿治疗中的应用价值。方法:选择2010 年10 月—2015 年1 月收治的81 例乳腺深部脓肿患者,35 例行超声引导下麦默通置管引流(观察组),46 例行传统切开引流术(对照组)。比较两组手术相关指标、患者满意度、复发率、术后并发症等。结果:观察组手术耗时、术中出血量、愈合时间、术后瘢痕长度、疼痛NRS 评分均明显优于对照组(均P<0.05)。术后3~6 个月随访,观察组患者满意度明显优于对照组(85.71% vs. 58.33%,P<0.05),复发率、并发症发生率明显低于对照组(2.86% vs. 19.57%;5.71% vs. 28.26%,均P<0.05)。结论:麦默通微创旋切术治疗乳腺深部脓肿,具有创伤小、术后恢复快、美容效果好、并发症低的优点,患者满意度高,值得临床推荐应用。


Application of Mammotome rotation cutting in treatment of deep breast abscess

Abstract

Objective: To investigate the application value of Mammotome rotation cutting in treatment of deep breast abscess. Methods: Eighty-one patients with deep breast abscess admitted from October 2010 to January 2015 were selected. Of the patients, 35 cases underwent catheter drainage via ultrasound-guided Mammotome procedure (observational group), and 46 cases were subjected to traditional incision and drainage (control group). The relevant surgical variables, degree of patient’s satisfaction, recurrence rate and postoperative complications between the two groups of patients were compared. Results: The surgical variables that included operative time, intraoperative blood loss, healing time, postoperative scar length, and pain NRS score in observational group were significantly superior to those in control group (all P<0.05). During the period of 3- to 6-month follow-up, in observational group, the degree of patient’s satisfaction was significantly better than that in control group (85.71% vs. 58.33%, P<0.05), and the recurrence rate and incidence of postoperative complications were significantly lower than those in control group (2.86% vs. 19.57%; 5.71% vs. 28.26%, both P<0.05). Conclusion: Mammotome rotation cutting for deep breast abscess has the advantages of minimal invasiveness, fast postoperative recovery, favorable cosmetic results, lower incidence of complications and with higher degree of patient’s satisfaction. So it is recommended to be used in clinical practice.


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引用

引用本文: 远坤 刘, 晓宇 黄, 玉英 翁, 雪霞 梁. 麦默通微创旋切术在乳腺深部脓肿治疗中的应用[J]. 中国普通外科杂志, 2015, 24(11): 1601-1604.
Cite this article as: LIU Yuankun, HUANG Xiaoyu, WENG Yuying, LIANG Xuexia . Application of Mammotome rotation cutting in treatment of deep breast abscess[J]. Chin J Gen Surg, 2015, 24(11): 1601-1604.