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麦默通活检系统是治疗乳腺脓肿的有效治疗策略。

The Mammotome biopsy system is an effective treatment strategy for breast abscess.

机构信息

Department of Breast Surgery, China Japan Union Hospital of Jilin University, No. 126 Xiantai Street, Changchun 130033, China.

出版信息

Am J Surg. 2013 Jan;205(1):35-8. doi: 10.1016/j.amjsurg.2012.05.012. Epub 2012 Oct 1.

Abstract

BACKGROUND

Although most breast abscesses can be treated with the current first-line treatment of antibiotics by needle aspiration, the therapeutic duration is lengthy and recurrences often occur. Therefore, we aimed to investigate the clinical efficacy of the Mammotome biopsy system (Johnson & Johnson Corp., New Brunswick, NJ) in a cohort of patients with breast abscesses.

METHODS

Forty lactating and 30 nonlactating breast abscess patients with unfavorable outcomes with antibiotic treatment and/or needle aspiration failure were recruited and treated with the Mammotome biopsy system.

RESULTS

Skin inflammation of all patients disappeared within 6 days with no recurrence. The clinical outcomes in patients with an abscess size ≤ 3.5 cm was significantly better than those with an abscess size >3.5 cm (P = .025).

CONCLUSIONS

The Mammotome biopsy system, an effective treatment strategy that is minimally invasive and less damaging, in combination with appropriate antibiotic therapy can be used safely as the first-line approach to breast abscess management.

摘要

背景

尽管大多数乳腺脓肿可以通过目前的一线治疗方法——经皮穿刺抽脓联合抗生素治疗,但治疗时间较长,且经常复发。因此,我们旨在研究 Mammotome 活检系统(强生公司,新泽西州新不伦瑞克省)在一组乳腺脓肿患者中的临床疗效。

方法

招募了 40 例哺乳期和 30 例非哺乳期乳腺脓肿患者,这些患者在抗生素治疗和/或经皮穿刺抽脓失败后,应用 Mammotome 活检系统进行治疗。

结果

所有患者的皮肤炎症在 6 天内消失,无复发。脓肿大小≤3.5cm 的患者的临床结局明显优于脓肿大小>3.5cm 的患者(P=0.025)。

结论

Mammotome 活检系统是一种有效的治疗策略,微创且损伤较小,与适当的抗生素治疗相结合,可以作为乳腺脓肿管理的一线方法安全使用。

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