Watt-Boolsen S, Rasmussen N R, Blichert-Toft M
Am J Surg. 1987 Jun;153(6):571-3. doi: 10.1016/0002-9610(87)90158-9.
The estimated probability of relapse of primary periareolar abscess of the nonlactating breast was 38 percent (95 percent confidence interval 18 to 58 percent) 8 years after simple incision and healing by granulation. Relapses were mainly fistulas in the line of incision. An attempt to identify relapses early was unsuccessful. This finding, in combination with the unsatisfactory results of simple incision and healing by granulation and the character of relapses, suggests improper initial operation and multifactorial causes. Initial incision followed by a search for a possible sinus tract and extensive excision in all patients with primary abscesses has been described and is recommended.
非哺乳期乳腺原发性乳晕周围脓肿单纯切开并经肉芽组织愈合8年后，复发的估计概率为38%（95%置信区间为18%至58%）。复发主要为切口部位的瘘管。早期识别复发的尝试未成功。这一发现，结合单纯切开并经肉芽组织愈合的不理想结果以及复发的特点，提示初始手术不当及多因素病因。已有文献描述并推荐对所有原发性脓肿患者先行切开，随后寻找可能的窦道并进行广泛切除。
