Department of Obstetrics and Gynaecology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.
Arch Gynecol Obstet. 2011 Jun;283(6):1357-62. doi: 10.1007/s00404-010-1594-y. Epub 2010 Jul 21.
Although non-puerperal mastitis is rare and its cause is rather unclear, the number of patients diagnosed with this defect is increasing. In some cases, standard therapy fails and it progresses to a chronic disease. Vacuum-assisted closure (VAC) therapy has shown good results in healing complex wounds.
The goal of this study was to evaluate our experiences with VAC therapy and to answer the question whether or not should be accepted as an effective treatment in healing chronic wounds caused by non-puerperal mastitis. Retrospectively, we identified five patients with a non-puerperal mastitis chronic wound that was treated using VAC and report on their outcome.
We reached both wound control and closure of the breast wounds in all patients.
According to our findings, the VAC therapy can be considered when managing challenging breast wounds, particularly when other therapeutic options have failed. The role of VAC therapy as a primary therapeutic option has not yet been evaluated.
虽然非哺乳期乳腺炎较为罕见，其病因也不甚明确，但被诊断为此种疾病的患者人数正在增加。在某些情况下，标准治疗无效，病情会进展为慢性疾病。负压辅助闭合（VAC）治疗在治疗复杂伤口方面已显示出良好的效果。
本研究旨在评估我们使用 VAC 治疗的经验，并回答 VAC 是否可被接受为治疗非哺乳期乳腺炎慢性伤口的有效方法。我们回顾性地确定了五例使用 VAC 治疗的非哺乳期乳腺炎慢性伤口患者，并报告其结果。
所有患者均实现了伤口控制和乳房伤口的闭合。
根据我们的发现，在处理具有挑战性的乳房伤口时，可以考虑使用 VAC 治疗，特别是在其他治疗选择失败的情况下。VAC 治疗作为主要治疗选择的作用尚未得到评估。
