文章摘要

彩色多普勒超声引导下微创介入穿刺联合臭氧腔内注入治疗乳腺脓肿的临床效果

作者: 1李乐, 2李中勇
1 兖矿新里程总医院特检科,山东 邹城 273500
2 兖矿新里程总医院普外科,山东 邹城 273500
通讯: 李中勇 Email: lzy800621@yeah.net
DOI: 10.3978/j.issn.2095-6959.2019.05.008

摘要

目的:评价彩色多普勒超声引导下微创介入穿刺联合臭氧腔内注入治疗乳腺脓肿的临床效果。 方法:选取2015年10月至2017年10月来兖矿新里程总医院就诊的135例哺乳期乳腺脓肿患者为研究对象,按照随机数字法则分为3组,A组采用传统开放式引流术进行治疗,B组采用彩色多普勒超声引导下微创介入穿刺联合抗生素冲洗治疗,C组彩色多普勒超声引导下微创介入穿刺联合臭氧腔内注入治疗,然后对比3组临床疗效的安全性。结果:C组的愈合时间、换药次数明显低于A,B组(P<0.05),B组的愈合时间、换药次数明显低于A组(P<0.05),B组和C组发生乳瘘数明显低于A组(P<0.05),继续哺乳数明显高于A组(P<0.05);治疗后,3组VAS评分均明显降低(P<0.05),其中B组和C组VAS评分明显低于A组(P<0.05);A组创口愈合满意度为66.67%,B组为88.89%,C组为91.11%,B组和C组满意度明显高于A组(P<0.05);治疗后,3组炎性因子CRP,P物质以及IFN-γ水平均明显下降(P<0.05),其中C组炎性因子水平明显低于B组和A组(P<0.05),B组明显低于A组(P<0.05)。结论:彩色多普勒超声引导下微创介入穿刺联合臭氧腔内注入治疗乳腺脓肿效果更佳,值得在临床推广应用。
关键词: 乳腺脓肿;超声引导;穿刺灌洗;抗生素;臭氧

Clinical effect of minimally invasive puncture combined with ozone cavity injection guided by color doppler ultrasound in the treatment of mammary abscess

Authors: 1LI Le, 2LI Zhongyong
1 Department of Special Survey, Yankuang New Mileage General Hospital, Zoucheng Shandong 273500, China
2 Department of General Surgery, Yankuang New Mileage General Hospital, Zoucheng Shandong 273500, China

CorrespondingAuthor: LI Zhongyong Email: lzy800621@yeah.net

DOI: 10.3978/j.issn.2095-6959.2019.05.008

Abstract

Objective: To evaluate the clinical effect of minimally invasive puncture guided by color doppler ultrasound combined with ozone cavity injection in the treatment of mammary abscess. Methods: In October 2015 to October 2017, 135 patients with breast abscess from Yankuang New Mileage General Hospital were selected as the research objects. According to the law of random numbers, the patients were divided into three groups: group A was given traditional open drainage treatment, group B was given color doppler ultrasound guided minimally invasive interventional puncture with antibiotic treatment, group C was given color doppler ultrasound guided minimally invasive interventional puncture combined ozone cavity injection treatment, and the safety of the three groups of patients with clinical curative effect were compared. Results: The healing time, switching times of group C were obviously lower than those of group A, B (P<0.05); healing time, switching times of group B were obviously lower than those of group A (P<0.05), mammary fistula in group B and group C were significantly lower than that of group A (P<0.05), and the number of continued breastfeeding was significantly higher than that of group A (P<0.05). After the treatment, the VAS scores of group B and C were obviously lower than those in group A (P<0.05); the satisfaction degree of wound healing was 66.67% in group A, 88.89% in group B, 91.11% in group C, and that in group B and group C were significantly higher than that in group A (P<0.05). After the treatment, the levels of inflammatory cytokines CRP, substance P and IFN-γ of the three groups decreased significantly (P<0.05). Including inflammatory factor levels of group C was lower than that in group B and group A (P<0.05), group B was lower than that in group A (P<0.05). Conclusion: Color doppler ultrasound guided minimally invasive interventional puncture combined ozone cavity injection has better effect to treat breast abscess, which is worth popularizing in clinical application.
Keywords: mammary abscess; ultrasonic guidance; puncture irrigation; antibiotics; ozone

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