B超引导EnCor辅助乳腺脓肿微创术后康复新液冲洗脓腔疗效

梁凤兴 朱钢 劳美新 何淑媚 吴宁宇 邱婵

【摘要】目的：研究 B 超引导下乳腺脓肿EnCor真空负压系统微创旋切术后分别进行康复新液、生理盐水、甲硝唑脓腔冲洗治疗的效果。方法：收集2019年1月至2020年 12月佛山市南海区妇幼保健院住院行“B 超引导下脓肿微创旋切+EnCor负压泵+负压引流+抗菌药”45例哺乳期乳腺脓肿女性，随机分成三组。术后，康复新组给予康复新液冲洗脓腔治疗，生理盐水组给予生理盐水冲洗脓腔治疗，甲硝唑组给予甲硝唑冲洗脓腔治疗，比较三组患者治疗情况。结果：所有患者出院电话回访未出现复发病例，复发率为0。三组患者治疗后乳腺疼痛评分明显低于治疗前（均 P <0.05），且三组间乳腺疼痛评分差异无统计学意义（P >0.05）。康复新组出血天数、炎性引流液天数、病灶消退天数和住院天数均明显短于生理盐水组，而康复新组出血天数、病灶消退天数和住院天数均明显短于甲硝唑组，甲硝唑组炎性引流液天数和住院天数明显短于生理盐水组，差异均有统计学意义（均 P <0.05）。结论：乳腺脓肿EnCor真空负压系统微创术后康复新液冲洗脓腔有助于缓解疼痛，促进伤口愈合。

【关键词】乳腺脓肿;微创;术后;康复新液

【中图分类号】R445.1   R737.9【文献标识码】A 【文章编号】2096-5249（2021）22-0004-03

B-ultrasound guided EnCor assisted minimally invasive surgery for breast abscess

Liang Feng-xing， Zhu Gang， Lao Mei-xin， He Shu-mei， Wu Ning-yu，Qiu Chan

Galactophore Department，Nanhai maternal and child health hospital， Foshan， Guangdong 528200， China

【Abstract】Objective：To study the e?ect of Kangfuxin solution，normal saline and metronidazole purulent cavity irrigation after minimally invasive circumcision of breast abscess under the guidance of B-ultrasound.Methods：From January 2019 to De- cember 2020，45 women with breast abscess in lactation were collected and rando mLy divided into 3 groups.After operation，Kang- fuxin group was treated with Kangfuxin solution to ?ush pus cavity，normal saline group was treated with normal saline to ?ush pus cavity，and metronidazole group was treated with metronidazole to ?ush pus cavity.The treatment conditions ofthe three groups were compared.Results：no recurrence occurred in all patients after discharge telephone follow-up，and the recurrence rate was 0.The breast pain score of the three groups after treatment was signi?cantly lower than that before treatment（P<0.05），but there was no signi?cant di?erence in breast pain score among the three groups after treatment（P>0.05）.The bleeding days，in?ammatory drain- age days，focal regression days and hospitalization days in Kangfuxin group were signi?cantly shorter than those in normal saline group;the bleeding days，focal regression days and hospitalization days in Kangfuxin group were signi?cantly shorter than those in Metronidazole group;and the in?ammatory drainage days and hospitalization days in Metronidazole group were signi?cantly shorter than those in normal saline group（P<0.05）.Conclusion：Washing the pus cavity with Kangfuxin solution after minimally invasive operation of breast abscess is helpful to relieve pain and promote wound healing.

【key words】Breast abscess;Minimally invasive;Postoperative;Kangfuxin Liquid

哺乳期乳腺脓肿是最常见的发生在乳房的急性化脓性炎症，据文献报道，20%的哺乳期妇女曾患急性乳腺炎，哺乳期乳腺炎进展迅速若未得到及时、有效控制而进一步发展为乳腺脓肿，发生率3%～11%，以初产哺乳早期多见，多由乳头皲裂、畸形和乳汁淤积合并感染造成，较常见为金黄色葡萄球菌感染[1]。早期表现为乳房胀痛，可伴有局部皮肤温度升高，可触及硬结，若处理不当，则容易发展为急性化脓性乳腺炎，表现为乳房局部红肿发热，疼痛，硬块伴有波动感、皮肤变薄、甚至破溃，严重时可引起脓毒血症、感染性休克[2]。……