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目的探究超声引导下导管引流在治疗哺乳期乳腺脓肿中的临床价值。方法选择2015年10月—2016年7月之间,在该院收治的哺乳期乳腺脓肿患者68例,随机分为观察组和对照组,分别应用超声引导下导管引流术和传统的切开引流术,比较两组患者的临床治疗效果、并发症以及临床相关指标等。结果观察组患者临床治疗有效率为97.06%,对照组治疗有效率为70.59%,两者差异有统计学意义(χ~2=12.063,P=0.000);观察组治疗后的并发症其发生率为2.94%,对照组发生率为26.47%,两者差异有统计学意义(χ~2=11.634,P=0.000);观察组患者的住院时间、拔管时间以及切口长度均显著优于对照组患者(t=13.635、10.658、8.695,P=0.000、0.001、0.009),差异有统计学意义(P<0.05)。结论超声引导下导管引流术治疗哺乳期乳腺脓肿具有很好的临床效果,安全可靠,可以有效的降低并发症的发生率,缩短患者的康复时间,提高患者的生活质量,在临床值得推广使用。
Objective To investigate the clinical value of ultrasound-guided catheter drainage in the treatment of lactating breast abscess. Methods Sixty-eight patients with lactating breast abscess admitted from October 2015 to July 2016 in our hospital were randomly divided into observation group and control group. The patients underwent ultrasound-guided catheter drainage and conventional incision and drainage The clinical effects, complications and clinical related indexes of two groups were compared. Results The effective rate of clinical treatment was 97.06% in the observation group and 70.59% in the control group, the difference was statistically significant (χ ~ 2 = 12.063, P = 0.000). The incidence of complications in the observation group In the control group was 26.47%, the difference was statistically significant (χ ~ 2 = 11.634, P = 0.000). The hospitalization time, extubation time and incision length in the observation group were significantly better than those in the control group Patients (t = 13.635,10.658,8.695, P = 0.000,0.001,0.009), the difference was statistically significant (P <0.05). Conclusions Ultrasound-guided catheter drainage for breast-feeding breast abscess has a good clinical effect, which is safe and reliable, which can effectively reduce the incidence of complications, shorten the recovery time of patients and improve the quality of life of patients, which is worthy of clinical promotion.