Clinical Study Of Mammary Abs-Cess Treatment During Lactation Bv Using Mam-Motome Rotatory Puncture And Drainage

Objective: To explore the application value of Mammotome rotary incision puncture and catheter drainage in the treatment of breast abscess in lactation.Methods: 72 cases of lactation mammary abscess in our hospital were treated with two different treatments during the same time.Among them,26 cases of mammary abscess in lactation were treated with Mammotome rotatory puncture and drainage and 46 cases were treated with mammary abscess incision and drainage.Then,the time of leukocyte decline,duration of antibiotic use,pain assessment,incision length,number of dressing changes,lactation leakage,postoperative recurrence,length of stay,and hospitalization cost were observed and recorded in the two groups of patients with lactation mammary abscess,and the results were statistically analyzed.At the same time,16 other patients with small mammary single-chamber abscess in lactation were treated with fine needle puncture and pus extraction,and the situation after treatment was recorded and analyzed.Result:1.After treatment,t-test showed no difference in the duration of leukocyte decline and the time of antibiotic use between the two groups(P > 0.05).2.After treatment,the t-test showed there was no difference in the pain score of the two groups at 6 hours after surgery(P > 0.05).The postoperative pain score of 24 hours in the Mammotome group was 1.8±0.7 points < 2.5±1.1 points in the open group(P < 0.05).The incision length of the open group was 34.9±12.1 mm greater than that of the Mammotome group 3.1±0.4 mm(P < 0.05).The number of dressing changes in the Mammotome group was less than that in the open group(P < 0.05).3.There were 11 cases of milk leakage in the Mammotome group,and the milk leakage rate was 42.3%,and there were 20 cases in the open group,and the milk leakage rate was 43.5%.Breast leakage occurred in all the 5 cases of breast abscess in the central region.After chi-square test,there was no difference in breast leakage between the two groups(P > 0.05).There was no recurrence in the open group and the recurrence rate was 0.After chi-square test,there was no difference in the recurrence of breast abscess between the two groups(P > 0.05).4.There was no difference in hospitalization time and hospitalization cost between the two groups after t test(P > 0.05).5.All 16 cases of lactation mammary single-chamber abscess in the fine-needle puncture group were cured clinically.And no recurrence was found after follow-up.The t-test showed that both the pain score at 6 hours after surgery,the pain score at 24 hours after surgery and the hospitalization cost were lower in the fine-needle puncture group than in the Mammotome group(P < 0.05).Conclusion: 1.All lactation mammary abscess patients in the Mammotome group and the open group were treated effectively.2.Whether the incision length,postoperative pain score or the number of dressing changes,the Mammotome group was better than the open group,and the results indicated that the Mammotome group was more minimally invasive and more aesthetic.3.There was no significant difference in hospitalization time and cost between the two groups.4.Mammary abscess located in the central area,whether it is treated by Mammotome rotatory puncture and drainage or incision and drainage,they both produce milk leakage and milk back.There was no difference in the incidence of breast leakage between the open group and the Mammotome group.5.For small,one-room mammary abscess,fine-needle aspiration for abscess is more minimally invasive,and there is no need for the treatment of mammary abscess with Mammotome rotatory puncture and drainage.For mammary abscess that fails to be treated by fine needle aspiration,mammary abscess can be treated by Mammotome rotatory puncture and drainage.