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Clinical study on treatment of plasma cell mastitis in abscess stage with pad and binding after puncture
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DOI   10.11656/j.issn.1673-9043.2024.03.05
Key Words   abscess stage;plasma cell mastitis;pad and binding after puncture
Author NameAffiliationE-mail
ZHAO Wenjie Department of Mammary Gland, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China  
YU Jiale Department of Mammary Gland, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China  
ZHANG Dongxiao Department of Mammary Gland, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China morningdong@163.com 
XU Zihan Department of General Surgery, Pinggu District Hospital of Traditional Chinese Medicine, Beijing 101200, China  
Abstract
    [Objective] To evaluate the clinical efficacy and safety of puncture pad cotton binding method in the treatment of plasma cell mastitis abscess. [Methods] A prospective randomized controlled clinical trial was conducted,with a total of 72 patients included. They were divided into two groups:the puncture pad cotton binding group and the incision routine dressing change group,with a ratio of 2∶1. The puncture pad cotton binding group included 48 patients,who were treated with puncture aspiration followed by pad cotton binding. The incision routine dressing change group included 24 patients,and after incision and drainage,dressing change treatment was performed according to the condition of the wound. The course of treatment was 8 weeks,and the degree of abscess reduction in both groups was observed. Duration of pain,VAS pain score,improvement in breast appearance, frequency of dressing changes,and adverse reactions were observed too. [Results] There were significant differences (P<0.05) in the degree of abscess reduction,breast pain time,VAS score,improvement in breast appearance,and frequency of dressing changes between the puncture pad cotton binding group and the conventional dressing changing group,and no significant adverse reactions were observed. [Conclusion] The puncture aspiration and cotton pad binding method is clinically effective in the treatment of plasma cell mastitis abscess and is worth promoting and applying.

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