Debord M-P, Poirier E, Delgado H, Charlot M, Colin C, Raudrant D, Golfier F, Dupuis O
Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
Service de gynécologie obstétrique, CHU de Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2016 Mar;45(3):307-14. doi: 10.1016/j.jgyn.2015.04.004. Epub 2015 May 11.
To show the effectiveness of ultrasound-guided puncture in the treatment of lactational breast abscess and identify its risk factors.
Retrospective descriptive study at the CHU of Lyon-Sud from December 2007 to December 2013, including patients with lactational breast abscess confirmed on ultrasound and treated with antibiotics and analgesics. Realisation of ultrasound-guided needle under local anesthesia by the radiologist and washing the cavity with physiological serum.
Forty patients had lactational abscesses at an average of 10 weeks post-partum. Thirty-four patients were treated by needle aspiration, of which 2 had first surgical drainage. The average size of the abscess was 41.2mm. The success rate of needle aspiration was 91.2%. No cases of recurrence were observed, however, there were 5 fistulisations. In all, 91.2% were treated on an outpatient basis. In 87.8% of cases, breastfeeding was continued on the healthy side and in 48.5% of cases on the affected side. The major risk factor for abscess was mastitis in 91.1% of cases.
Ultrasound guidance of needle aspiration should be gold standard for the treatment of lactational breast abscesses to continue breastfeeding including the affected side.
展示超声引导下穿刺治疗哺乳期乳腺脓肿的有效性，并确定其危险因素。
2007年12月至2013年12月在里昂南大学医院进行回顾性描述性研究，纳入经超声确诊为哺乳期乳腺脓肿且接受抗生素和镇痛药治疗的患者。由放射科医生在局部麻醉下进行超声引导穿刺，并使用生理盐水冲洗脓腔。
40例患者患有哺乳期脓肿，平均产后10周。34例患者接受了针吸治疗，其中2例首先进行了手术引流。脓肿平均大小为41.2mm。针吸成功率为91.2%。未观察到复发病例，但有5例形成瘘管。总体而言，91.2%的患者在门诊接受治疗。87.8%的病例中，健侧继续母乳喂养，48.5%的病例中患侧也继续母乳喂养。脓肿的主要危险因素在91.1%的病例中是乳腺炎。
超声引导下针吸应成为治疗哺乳期乳腺脓肿以继续包括患侧母乳喂养的金标准。
