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目的探讨超声引导下行麦默通elite穿刺诊治脓肿期浆细胞性乳腺炎的临床价值。方法 40例脓肿期浆细胞性乳腺炎在超声引导下行麦默通elite穿刺活检。麦默通elite先穿刺肿块低回声区,穿出组织送病理检查,再穿刺肿块内无回声区,抽出大部分脓液并送细菌培养及药敏。穿刺结束后通过麦默通elite的穿刺口注入生理盐水冲洗脓腔。病理明确为浆细胞性乳腺炎后开始中药温阳通络方剂治疗。比较穿刺前后脓腔及肿块大小值的变化及并发症发生情况。结果 40例患者均穿刺成功,无明显不良反应发生,均经病理诊断为浆细胞性乳腺炎。40例患者的脓腔大小平均值穿刺后较穿刺前明显减小,差异有统计学意义(P<0.05);而肿块大小平均值穿刺后较穿刺前变化不明显(P>0.05)。2例患者的脓液中培养出金黄色葡萄球菌生长;1例患者的脓液中培养出厌氧菌生长;余37例患者的脓液细菌培养均无细菌生长。穿刺后给予温阳通络方剂治疗,平均疗程87天,均临床治愈。结论超声引导下麦默通elite穿刺活检操作简单安全,诊断准确率高。在明确诊断的同时对脓腔可以充分引流。在充分引流后,予以中药温阳通络方治疗对脓肿期浆细胞性乳腺炎有显著疗效,可在临床推广应用。
Objective To investigate the clinical value of ultrasound-guided metonella elite puncture in the treatment of abscess plasma cell mastitis. Methods 40 cases of abscess plasma cell mastitis under the guidance of ultrasound McMonTON elite biopsy. Microtom elite first puncture tumor hypoechoic area, wear out the organization to send pathological examination, and then puncture the mass within the anechoic area, remove most of the pus and sent to bacterial culture and drug sensitivity. After the puncture through the McMaster elite puncture injection of saline flush abscess. Clear pathology for plasma mastitis after the Chinese medicine Wenyang Tongluo prescription treatment. The changes of abscess and tumor size before and after puncture and complication were compared. Results All the 40 patients were successfully punctured without any obvious adverse reactions. All of them were pathologically diagnosed as plasma cell mastitis. The mean size of the abscess in 40 patients was significantly lower than that before the puncture (P <0.05), while the average size of the tumor did not change significantly after puncture (P> 0.05). Staphylococcus aureus grew in pus of 2 patients; anaerobic bacteria grew in pus in 1 patient; bacterial growth of pus in the other 37 patients did not grow. After puncture to give Wenyang Tongluo prescription treatment, the average course of 87 days, are clinically cured. Conclusion Ultrasound-guided Maitong elite needle biopsy operation is simple and safe, high diagnostic accuracy. In a clear diagnosis of abscess can be fully drainage. After full drainage, to be Chinese medicine Wenyang Tongluo Fang treatment of abscess plasma cell mastitis have a significant effect, can be popularized in clinical application.