Breast abscesses in lactating women
Breast abscesses in lactating women
复制标题
DOI：
10.1007/s00268-002-6563-6
复制
发表时间：
2003-02-01
影响因子：
2.6
通讯作者：
Inan, A
中科院分区：
文献类型：
--
作者：
Dener, C;Inan, A
我们设计了一项前瞻性研究，以评估产褥期乳腺脓肿的影响因素，并评估治疗方案。在为期4年的研究期间，对128名患有乳腺感染的哺乳期妇女进行了随访。其中102例患有乳腺炎（80%），26例患有乳腺脓肿（20%）。所有病例均行超声检查。前瞻性记录患者年龄、产次、感染部位、乳头破裂、哺乳期持续时间、症状持续时间、乳汁培养结果、既往哺乳期乳房感染、治疗选择、愈合时间和复发。所有乳腺炎患者均接受抗生素治疗，无一例发生脓肿。10个病灶经抽吸，16个病灶经切开引流治疗。愈合时间相似。乳腺炎组和脓肿组在年龄、产次、乳房感染部位、乳头破裂、阳性乳培养或平均泌乳时间方面无显著差异。脓肿病例的症状持续时间和愈合时间较长。多变量分析显示，症状持续时间是脓肿发展的唯一独立变量。在中位随访24周内，13例患者（10.2%）发生复发性乳腺炎。乳腺炎的延迟治疗可能会导致脓肿形成，可以通过早期抗生素治疗来预防。超声检查有助于发现脓肿形成。在选定的情况下，脓肿可以用针吸引流，具有良好的美容效果。
We designed a prospective study to assess the contributing factors in puerperal breast abscess and to evaluate the treatment options. During the 4-year study period, 128 nursing women with breast infection were followed. Of these, 102 had mastitis (80%) and 26 had breast abscess (20%). Ultrasonographic examination was performed in all cases. Patient age, parity, localization of infection, cracked nipples, duration of lactation, duration of symptoms, milk culture results, breast infections during previous lactation period, treatment options, healing time, and recurrence were recorded prospectively. All mastitis patients were treated with antibiotics and none developed an abscess. Ten abscesses were aspirated, and 16 abscesses were treated by incision and drainage. Healing times were similar. There was no significant difference between mastitis and abscess groups regarding age, parity, localization of breast infection, cracked nipples, positive milk cultures, or mean lactation time. Duration of symptoms and healing were longer in cases of abscess. Multivariate analyses showed that duration of symptoms was the only independent variable for abscess development. Recurrent mastitis developed in 13 patients (10.2%) within a median of 24 weeks of follow-up. Delayed treatment of mastitis can lead to abscess formation, and it can be prevented by early antibiotic therapy. Ultrasonography is helpful for detecting abscess formation. In selected cases the abscess can be drained with needle aspiration with excellent cosmesis.