Breast abscess: evidence based management recommendations
Breast abscess: evidence based management recommendations
复制标题
DOI：
10.1586/14787210.2014.913982
复制
发表时间：
2014-07-01
影响因子：
5.7
通讯作者：
Wiseman, Sam M.
中科院分区：
文献类型：
--
作者：
Lam, Elaine;Chan, Tiffany;Wiseman, Sam M.
进行了文献综述，并使用推荐强度分类学指南对报告乳腺癌治疗的研究的质量及其证据水平进行了严格评价，并总结了关键建议。针吸无论有或没有超声引导应作为第一线治疗乳腺癌。这种方法具有潜在的好处：上级美容，愈合时间短，避免全身麻醉。治疗可能需要多次抽吸。超声引导下经皮穿刺置管可作为治疗较大病灶（>3 cm）的替代方法。对于较大（>5 cm）、多房或长期存在的脓肿，或经皮引流不成功，应考虑将手术切开引流作为一线治疗。所有患者应同时接受抗生素治疗。复发性乳晕下脓肿和瘘管的患者应考虑手术治疗。
Literature review was carried out and studies reporting on treatment of breast abscesses were critically appraised for quality and their level of evidence using the Strength of Recommendation Taxonomy guidelines, and key recommendations were summarized. Needle aspiration either with or without ultrasound guidance should be employed as first line treatment of breast abscesses. This approach has the potential benefits of: superior cosmesis, shorter healing time, and avoidance of general anaesthesia. Multiple aspiration sessions may be required for cure. Ultrasound-guided percutaneous catheter placement may be considered as an alternative approach for treatment of larger abscesses (>3 cm). Surgical incision and drainage should be considered for first line therapy in large (>5 cm), multiloculated, or long standing abscesses, or if percutaneous drainage is unsuccessful. All patients should be treated concurrently with antibiotics. Patients with recurrent subareolar abscesses and fistulas should be referred for consideration of surgical treatment.