文档介绍:41例哺乳期乳腺脓肿治疗分析【摘要】目的探讨 B 超引导下穿刺治疗乳腺脓肿的临床价值。方法 41 例乳腺脓肿的患者, 于门诊行 B 超引导下行穿刺引流术, 记录穿刺次数、脓肿愈合的时间、并发症的发生情况、复发情况、细菌培养结果等。结果 41 例乳腺脓肿[41 例患者, 单侧 39 例, 双侧 2 例(共 43只乳房), 多发脓腔 4侧], 共穿刺 106 人次, 平均穿刺 次, 平均 2 周内痊愈,3 例患者发生奶漏, 其中 2 例转切开排脓(2 个月愈合),1 例坚持喂奶( 3 个月后愈合) 。细菌培养以金黄色葡萄球菌为主。结论在超声引导下行乳腺脓肿的穿刺排脓治疗, 具有创伤小、恢复快、美容效果好及安全可靠的特点。【关键词】乳腺炎; B 超;穿刺术 DOI : -5547/ Treatment analysis of 41 lactation period breast abscess cases LIN Ju-li , GUO Ju-jiang , ZHU Zhan-lin , et al. Department of Breast Surgery , Xiamen City Maternal and Child Health Care Hospital , Xiamen 361004 , China 【 Abstract 】 Objective To investigate the clinical value ofB ultrasound-guided paracentesis in the treatment of breast abscess. Methods There were 41 patients with breast abscess receiving B ultrasound-guided paracentesis as outpatients. Records were made on puncture times , abscess heal time , complications status , recurrence condition , and bacterial culture results , etc. Results Among the 41 breast abscess patients [41 cases , 39 unilateral cases , 2 bilateral cases ( 43 breasts ),4 multiple vomica sides] , there were totally 106 puncture times , with the average puncture time as times per people. Patients healed within an average time as 2 weeks , and there were 3 cases with milk leakage ,2 cases with alternative incision and apocenosis ( healed after 2 months ), and 1 case with continu