O'Hara R J, Dexter S P, Fox J N
Department of Surgery, Hull Royal Infirmary, UK.
Br J Surg. 1996 Oct;83(10):1413-4. doi: 10.1002/bjs.1800831028.
Current practice in this unit for a suspected breast abscess is preliminary ultrasonographic scan, aspiration of any pus, antibiotic therapy and repeat aspiration in the outpatient clinic if necessary. Inflammatory masses are treated with antibiotics alone. A retrospective review of this strategy has been made. Over a 2-year interval 53 patients were admitted to hospital with a suspected breast abscess. Twenty-two abscesses were aspirated, of which 19 resolved and three required subsequent incision and drainage. Eight patients underwent primary incision and drainage, one of whom required a second drainage procedure. In five patients the abscess discharged spontaneously before intervention. The remaining 18 patients were found on ultrasonography to have inflammation without evidence of focal pus which settled with antibiotic therapy in all but two patients. One of these was found to have an inflammatory cancer and the other developed an abscess, which was drained. Aspiration combined with ultrasonographic imaging is an effective alternative to incision and drainage.
本科室目前对于疑似乳腺脓肿的治疗方法是先进行超声初步扫描、抽吸脓液、进行抗生素治疗，必要时在门诊重复抽吸。炎性肿块仅用抗生素治疗。已对该策略进行了回顾性分析。在两年期间，有53例疑似乳腺脓肿的患者入院。对22个脓肿进行了抽吸，其中19个脓肿消退，3个脓肿随后需要切开引流。8例患者接受了一期切开引流，其中1例需要二次引流。5例患者在干预前脓肿自行破溃。其余18例患者经超声检查发现有炎症但无局灶性脓液，除2例患者外，其余患者均经抗生素治疗后痊愈。其中1例被发现患有炎性癌，另1例发展为脓肿并进行了引流。抽吸联合超声成像可作为切开引流的有效替代方法。
