摘要
目的探讨基于快速康复外科(fast track surgery,FTS)理念的负压封闭引流技术(vacuum sealing drainage,VSD)治疗急性乳腺脓肿的可行性、安全性及优越性。方法回顾2015年6月~2016年6月收治的48例乳腺脓肿患者的临床资料,按治疗方法分为两组:VSD组26例,均行负压封闭引流术;传统组22例,行传统脓肿切开引流术。观察并比较两组患者的脓腔愈合时间、瘢痕长度、平均住院时间、术后6个月复发及乳腺变形情况。结果 VSD组乳腺脓腔愈合时间、瘢痕长度及平均住院时间分别为(10.1±1.5)d、(1.5±0.6)cm、(13.2±3.7)d,传统组分别为(16.4±2.7)d、(4.2±0.7)cm、(23.2±3.1)d,两组比较差异均有统计学意义(P<0.05)。两组患者术后均随访6个月。VSD组复发1例,传统组复发3例,VSD组无一例乳房变形,对照组乳房变形2例;组间比较差异均无统计学意义(P>0.05)。结论基于FTS理念的VSD技术治疗急性乳腺脓肿是可行的、安全的,有利于脓腔愈合,减少复发,具有一定的优势。
Objective To explore the feasibility,safety and advantages of vacuum sealing drainage（VSD） technique in the treatment of acute breast abscess according to the fast track surgery（FTS） theory.Methods The clinical data of 48 cases suffered acute breast abscess in our hospital from June 2015 to June 2016 were analyzed retrospectively. According to the drainage method,26 cases underwent VSD were regarded as VSD group and 22 cases treated by traditional abscess incision drainage were as the control group. The healing time,scarring length,the average hospital stays,the breast deformation and the recurrence rate were compared between two groups. Results The breast abscess healing time,scar length and average hospitalization days were（10. 1± 1. 5） d,（1. 5 ± 0. 6） cm and（13. 2 ± 3. 7） d respectively in VSD group,and were（16. 4 ± 2. 7） d,（4. 2 ±0. 7） cm and（23. 2 ± 3. 1） d respectively in control group,there were statistical differences between two groups（P 0. 05）. All patients were followed up for 6 months. One case was found recurrence in VSD group and 3 cases in control group,and no statistical difference between two groups（P 0. 05）. There was no breast deformation in VSD group but 2 patients in the control group,and no statistical difference between two groups（P 0. 05）. Conclusion The VSD technique based on FTS is an effective and safe method for the treatment of acute breast abscess.
出处
《中国现代手术学杂志》
2017年第2期108-110,共3页
Chinese Journal of Modern Operative Surgery
