| 张雨,易维真.持续负压引流术在肉芽肿性乳腺炎中的临床价值[J].安徽医药,2022,26(9):1774-1777. |
| 持续负压引流术在肉芽肿性乳腺炎中的临床价值 |
| Clinical value of continuous negative pressure drainage in granulomatous mastitis |
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| DOI：10.3969/j.issn.1009-6469.2022.09.018 |
| 中文关键词: 肉芽肿性乳腺炎 负压伤口疗法 持续负压引流术 脓肿切开引流术 |
| 英文关键词: Granulomatous mastitis Negative-pressure wound therapy Vacuum sealing drainage Abscess incision drainage |
| 基金项目:全国西学中骨干人才培训项目(国中医药人教函〔2019〕44号) |
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| 中文摘要: |
| 目的探讨持续负压引流术治疗肉芽肿性乳腺炎的临床价值。方法回顾性收集2016年6月至2020年2月期间安徽中医药大学第一附属医院肉芽肿性乳腺炎病人的临床资料，其中采用持续负压引流术治疗病人32例，按年龄、病程、病灶大小等频数匹配收集40例采用传统脓肿切开引流术的对照组病人。观察并比较两组换药频次、创面愈合时间、疼痛评分、生活质量评分、焦虑评分、痊愈后乳房外形改变等指标。结果持续负压引流术治疗肉芽肿性乳腺炎病人的换药次数［(27.0±3.7)次］、创面愈合时间［(77.6±14.0)d］、疼痛评分［(4.5±1.2)分］、生活质量评分和对照组病人换药次数［(30.8±3.5)次］、创面愈合时间［(85.8±13.1)d］、疼痛评分［(5.3±0.8)分］、生活质量评分相比差异有统计学意义(P<0.05)；创面Ⅰ期愈合率、焦虑评分两组差异无统计学意义(P>0.05)；持续负压引流术病人治疗前后乳房外形无明显改变(P>0.05)，对照组病人治疗前后乳房外形有明显改变(P<0.05)。结论持续负压引流术治疗肉芽肿性乳腺炎的临床疗效较好，不改变乳房原有外形。 |
| 英文摘要: |
| Objective To investigate the clinical value of vacuum sealing drainage (VSD) in the treatment of granulomatous mastitis.Methods The clinical data of patients with granulomatous mastitis in the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from June 2016 to February 2020 were retrospectively recruited, of which 32 patients were treated with continuous VSD. Forty patients in the control group who were treated with traditional abscess incision and drainage were collected by equal frequency matching. The frequency of dressing changes, wound healing time, pain score, quality of life score, anxiety score, and breast shape changes after recovery were observed and compared between the two groups.Results The number of dressing changes [(27.0±3.7) times], wound healing time[[(77.6±14.0) d], pain score [(4.5±1.2) points], quality of life in patients with granulomatous mastitis treated with VSD showed significant differences between the scores and the number of dressing changes [(30.8±3.5) times], wound healing time [(85.8±13.1) d], pain score [(5.3±0.8) points], and quality of life scores in the control group (P<0.05). There was no significant difference in the wound healing rate and anxiety score between the two groups (P>0.05); the breast shape of the patients with continuous negative pressure drainage had no significant change before and after treatment (P>0.05), and the breast shape of the control group had a significant change before and after treatment (P<0.05).Conclusion The clinical efficacy of VSD in the treatment of granulomatous mastitis is good, without changing the original shape of the breast. |
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