ĐÁNH GIÁ HIỆU QUẢ CỦA CHỌC HÚT ÁP XE VÚ DƯỚI HƯỚNG DẪN SIÊU ÂM Ở PHỤ NỮ CHO CON BÚ

SUMMARY

Objective: To describe the results of ultrasound- guided needle aspiration in the treatment of lactational breast abscesses.

Subjects and methods of study: this study was conducted in Bach Mai Hospital, from 6/2020 to 1/2021. Patients with lactating breast abscesses underwent ultrasound- guided aspiration followed by antibiotics therapy.

Results: In 34 patients with 46 lactating breast abscesses, most of the abscesses had heterogeneous echogenic, no capsule and size smaller than 5cm. The smallest size of abscesses was 13x24x14mm (equivalent to volume of 2ml), the largest one occupied most of the mammary gland, equivalent to a volume of 540ml. Bacterial culture results showed that 84,8% of cases were methicillin-resistant staphylococcus aureus. The average number of aspirations was 2. The average treatment length was 16 days. Success rate was 91,2% and in these cases, 4 patients (9,3%) had galactocele complication after treatment. 3 cases (8,8%) were converted to the traditional incision and drainage.

Conclusion: Ultrasound- guided needle aspiration is an effective and minimally invasive treatment option for lactating breast abscess with a high rate of success and good cosmetic results.

Keywords: lactating breast abscess, ultrasound- guided needle aspiration.