乳晕下乳腺脓肿：手术治疗的特点及结果

Subareolar breast abscesses: characteristics and results of surgical treatment.

作者信息

Versluijs-Ossewaarde F N Lesanka, Roumen Rudi M H, Goris R J A

机构信息

Department of Surgery, Máxima Medical Center, PO Box 7777, 5500 MB Veldhoven, The Netherlands.

出版信息

Breast J. 2005 May-Jun;11(3):179-82. doi: 10.1111/j.1075-122X.2005.21524.x.

DOI:10.1111/j.1075-122X.2005.21524.x

PMID:15871702

Abstract

Our objective was to describe the characteristics of subareolar breast abscesses and to analyze the results of surgical treatment in relation to the prevention of recurrences. Almost 70% of patients smoked more than 10 cigarettes a day. The recurrence rate after excision of the lactiferous ducts was 28% and after management without excision of the lactiferous ducts was 79% (p < 0.001). Gram-positive bacteria were isolated more frequently in primary subareolar breast abscesses (not significant). Anaerobic microorganisms were more frequently cultured in recurring subareolar breast abscesses (p = 0.02). Definitive treatment of subareolar breast abscesses should consist of excision of the affected lactiferous ducts.

摘要

我们的目的是描述乳晕下乳腺脓肿的特征，并分析与预防复发相关的手术治疗结果。近70%的患者每天吸烟超过10支。切除输乳管后的复发率为28%，未切除输乳管的处理后的复发率为79%（p<0.001）。革兰氏阳性菌在原发性乳晕下乳腺脓肿中分离得更频繁（无统计学意义）。厌氧微生物在复发性乳晕下乳腺脓肿中培养得更频繁（p = 0.02）。乳晕下乳腺脓肿的确定性治疗应包括切除受影响的输乳管。