超声引导经皮穿刺治疗乳腺脓肿的临床应用

目的评价超声引导下经皮穿刺治疗乳腺脓肿的临床应用价值。方法在超声引导下,对诊断为乳腺脓肿的病人采用经皮穿刺脓肿抽吸法及脓腔置管引流法进行治疗。结果 45例病人共有54个脓肿,22个最大径≤3 cm的脓肿采用脓肿抽吸法治愈21例,1例改行脓腔置管引流后治愈;32个最大径〉3 cm的脓肿实施脓腔置管引流法,治愈30例,切开引流2例。随访41例,复发4例,2例再次行脓腔置管引流治愈,另2例行脓肿切开引流治愈。结论超声引导下穿刺抽吸治疗不超过3 cm的乳腺脓肿与置管引流治疗超过3 cm的乳腺脓肿均是有效的治疗手段。

Clinical application of percutaneous treatment of breast abscess via US-guided needle aspiration

Objective To evaluate the clinical value of percutaneous ultrasonography（US）-guided needle aspiration for breast abscesses.Methods Percutaneous drainage by means of needle aspiration or catheter drainage under ultrasound guidance was performed in the patients who were diagnosed with the breast abscesses.Results Fifty-four abscesses were identified in 45 women.22 abscesses which the size were 3cm or smaller in maximum diameter were treated with needle aspiration,21 cases cured and 1 case converted to catheter drainage;32 abscesses which the size were larger than 3cm in maximum diameter were treated with catheter drainage,30 cases cured and 2 cases received incision and drainage.Follow-up were performed in 41 cases.Recurrence of breast abscess occurred in 4 patients.2 cases received catheter drainage again and eventually cured.Conclusion US-guided needle aspiration is the effective method for 3cm or smaller abscesses and US-guided catheter drainage is suited to the abscess larger than 3cm.