Chan Xiang Ting, Allen John Carson, Gudi Mihir, Lim Geok Hoon
Department of Biological Sciences, National University of Singapore.
Duke-NUS Medical School.
Ann Med Surg (Lond). 2023 Apr 14;85(5):1546-1549. doi: 10.1097/MS9.0000000000000658. eCollection 2023 May.
Conventional techniques for treatment of breast abscess, such as incision and drainage (I&D) and needle aspiration, have disadvantages. The authors aimed to compare the outcomes of a novel technique of bedside mini-incision and self-express (MISE) for breast abscess with the conventional techniques.
Patients with a pathologically confirmed breast abscess were retrospectively identified. Patients with mastitis, granulomatous mastitis, breast fillers with infection, ruptured abscess prior to intervention, other interventions or bilateral breast infection were excluded. Data collected included patient demographics, radiological features such as size and number of abscess, treatment modality, microbiological results and clinical outcomes. These outcomes were then compared between the patients with MISE, I&D and needle aspiration.
Twenty-one patients were included. The mean age was 31.5 years old (range: 18-48). Mean abscess size was 57.4 mm (range: 24-126). 5 (23.8%), 11 (52.4%) and 5 (23.8%) had MISE, needle aspiration and I&D, respectively. Average duration of antibiotics was 1.8, 3.9 and 2.6 weeks for MISE, needle aspiration and I&D groups, respectively, which was statistically significant after adjusting for confounders (=0.024). Mean duration of recovery was 2.8, 7.8 and 6.2 weeks for the MISE, needle aspiration and I&D groups, respectively (=0.027), after adjusting for confounders.
MISE, in suitable patients, results in shorter recovery time and lesser antibiotics usage, compared with the conventional techniques.
传统的乳腺脓肿治疗技术，如切开引流（I&D）和针吸术，存在缺点。作者旨在比较一种新型的床边小切口自排脓（MISE）技术与传统技术治疗乳腺脓肿的效果。
回顾性确定经病理证实为乳腺脓肿的患者。排除患有乳腺炎、肉芽肿性乳腺炎、感染的乳房填充物、干预前脓肿破裂、其他干预措施或双侧乳腺感染的患者。收集的数据包括患者人口统计学特征、脓肿大小和数量等影像学特征、治疗方式、微生物学结果和临床结局。然后比较接受MISE、I&D和针吸术的患者的这些结局。
纳入21例患者。平均年龄为31.5岁（范围：18 - 48岁）。平均脓肿大小为57.4毫米（范围：24 - 126毫米）。分别有5例（23.8%）、11例（52.4%）和5例（23.8%）接受了MISE、针吸术和I&D。MISE、针吸术和I&D组的抗生素平均使用时间分别为1.8周、3.9周和2.6周，在调整混杂因素后具有统计学意义（=0.024）。在调整混杂因素后，MISE、针吸术和I&D组的平均恢复时间分别为2.8周、7.8周和6.2周（=0.027）。
与传统技术相比，对于合适的患者，MISE可缩短恢复时间并减少抗生素使用。
