Fahrni Markus, Schwarz Esther I, Stadlmann Sylvia, Singer Gad, Hauser Nik, Kubik-Huch Rahel A
Institute of Radiology, Kantonsspital Baden AG, Baden, Switzerland.
Breast Care (Basel). 2012 Feb;7(1):32-38. doi: 10.1159/000336547. Epub 2012 Feb 21.
The aim of our study was to analyze diagnostic results, different treatment modalities, and the outcome of patients with breast abscesses treated at our institution in a multi-modality breast team, to determine whether minimally invasive treatments are successful. METHODS: 110 patients with mastitis and suspected breast abscesses at our institution between January 2000 and end of September 2007 were retrospectively analyzed. Abscesses were diagnosed using ultrasonography (US), and the material obtained using US-guided fine needle aspiration (FNA) was further examined. RESULTS: 29% of the patients were treated conservatively with antibiotics only, 51% were treated with US-guided FNA or drainage placement. 11% of the patients underwent additional surgery after minimally invasive treatment (i.e. conversion rate). 9% of the patients underwent primary surgery. Early complications occurred in 7% of patients treated minimally invasive but not in patients treated with surgery alone. Late complications occurred in 5% of patients who underwent minimally invasive treatments and in 30% of patients who underwent surgery. CONCLUSIONS: US-guided FNA as a minimally invasive therapy in combination with antibiotics was found to successfully treat most breast abscesses and, in cases where a larger volume of pus was involved, the placement of an additional drainage catheter was effective.
我们研究的目的是分析在我们机构由多学科乳腺团队治疗的乳腺脓肿患者的诊断结果、不同治疗方式及治疗结局，以确定微创治疗是否成功。方法：回顾性分析2000年1月至2007年9月底在我们机构就诊的110例患有乳腺炎且疑似乳腺脓肿的患者。通过超声（US）诊断脓肿，并对超声引导下细针穿刺抽吸（FNA）获取的材料进行进一步检查。结果：29%的患者仅接受抗生素保守治疗，51%的患者接受超声引导下FNA或置管引流治疗。11%的患者在微创治疗后接受了额外手术（即转化率）。9%的患者接受了一期手术。微创治疗的患者中有7%发生早期并发症，而单纯手术治疗的患者未发生早期并发症。接受微创治疗的患者中有5%发生晚期并发症，接受手术治疗的患者中有30%发生晚期并发症。结论：超声引导下FNA作为一种微创治疗方法，联合抗生素可成功治疗大多数乳腺脓肿，对于脓肿体积较大的病例，额外放置引流导管有效。
