Centre de Recherche et d'Investigation des Maladies du Sein, Department of Radiology, Hôtel-Dieu de Montréal, Centre Hospitalier Universitaire de Montréal, 3840 Rue St-Urbain, Montréal, QC, Canada H2W 1T8.
Radiographics. 2011 Oct;31(6):1683-99. doi: 10.1148/rg.316115521.
Radiologists who regularly perform breast ultrasonography will likely encounter patients with breast abscesses. Although the traditional approach of surgical incision and drainage is no longer the recommended treatment, there are no clear guidelines for management of this clinical condition. Breast abscesses that develop in the puerperal period generally have a better course than nonpuerperal abscesses, which tend to be associated with longer treatment times and a higher rate of recurrence. The available literature on treatment of breast abscesses is imperfect, with no clear consensus on drainage, antibiotic therapy, and follow-up. By synthesizing the data available from studies published in the past 20 years, an evidence-based algorithm for management of breast abscesses has been developed. The proposed algorithm is easy to follow and has been validated by a multidisciplinary team approach and applied successfully during the past 2 years. Breast abscesses are a challenging clinical condition, and radiologists have a pivotal role in evaluation and follow-up of these lesions.
经常进行乳腺超声检查的放射科医生可能会遇到患有乳腺脓肿的患者。虽然传统的手术切开引流方法不再被推荐，但对于这种临床情况的处理尚无明确的指南。哺乳期乳腺脓肿的病程通常比非哺乳期脓肿好，非哺乳期脓肿往往与治疗时间更长和复发率更高有关。关于乳腺脓肿治疗的现有文献并不完善，在引流、抗生素治疗和随访方面没有明确的共识。通过综合过去 20 年发表的研究数据，制定了一种基于证据的乳腺脓肿管理算法。所提出的算法易于遵循，已经通过多学科团队方法进行了验证，并在过去 2 年中成功应用。乳腺脓肿是一种具有挑战性的临床情况，放射科医生在这些病变的评估和随访中起着关键作用。
