Ultrasound Guided Needle Aspiration versus Surgical Drainage in the management of breast abscesses: a Ugandan experience.
Ultrasound Guided Needle Aspiration versus Surgical Drainage in the management of breast abscesses: a Ugandan experience.
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DOI：
10.1186/1756-0500-5-12
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发表时间：
2012-01-06
影响因子：
1.8
通讯作者：
Chalya PL
中科院分区：
文献类型：
--
作者：
Chandika AB;Gakwaya AM;Kiguli-Malwadde E;Chalya PL
尽管乳腺脓肿在发达国家越来越不常见，但它仍然是发展中国家妇女发病的主要原因之一。在乌干达坎帕拉的Mulago综合医院进行了一项随机对照试验，以确定超声引导下针吸活检是否是乳腺癌的可行替代治疗选择。共分析了65例女性乳腺脓肿患者，其中33例患者被随机分配到超声引导下穿刺抽吸组，32例患者被随机分配到切开引流组，平均年龄为23.12岁，大多数患者为哺乳期66.2%为侧旁型（44.6%），其中73.8%位于上外侧象限（56%），平均乳房大小3.49cm。两组在人口学特征和乳腺脓肿大小方面相似。生存分析显示，两组之间的乳腺脓肿愈合率无差异（对数秩0.24 df 1和P = 0.63）。发现切开引流比超声引导抽吸更昂贵（成本效益比为2.85）。因此，超声引导下针吸活检是一种可行的和具有成本效益的治疗选择，用于哺乳期和非哺乳期乳腺肿块，直径达5 cm，超声在免疫功能正常的患者
Despite breast abscess becoming less common in developed countries, it has remained one of the leading causes of morbidity in women in developing countries. A randomized controlled trial was conducted at Mulago hospital complex in Kampala Uganda to establish whether ultrasound guided needle aspiration is a feasible alternative treatment option for breast abscesses. A total of 65 females with breast abscess were analyzed, of these 33 patients were randomized into the ultrasound guided needle aspiration and 32 patients in the Incision and drainage arm. The mean age was 23.12, most of them were lactating (66.2%), primipararous (44.6%) with peripheral abscesses (73.8%) located in the upper lateral quadrant (56%).The mean breast size was 3.49 cm. The two groups were comparably in demographic characteristic and breast abscess size. Survival analysis showed no difference in breast abscess healing rate between the two groups (Log rank 0.24 df 1 and P = 0.63). Incision and drainage was found to be more costly than ultrasound guided aspiration (cost effective ratio of 2.85). Ultrasound guided needle aspiration is therefore a feasible and cost effective treatment option for both lactating and non lactating breast abscesses with a diameter up to 5 cm by ultrasound in an immune competent patient