ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ ÁP XE VÚ Ở NHỮNG PHỤ NỮ CHO CON BÚ TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Objective: Evaluate the results of treatment of breast abcesseses in breastfeeding women at ha noi obstetrics and gynecology hospital. Materials and method: This is a cross-sectional study, was performed 102 breastfeeding women diagnosed with breast abscesses who came for examination and treatment at Hanoi Obstetrics Hospital from April 2023 to September 2023. Results: Breast abscesses in breastfeeding women accounted for 3.84% of women treated for postpartum milk duct obstruction at Ha Noi Obstetrics and Gynecology Hospital. The average age of the study subjects was 27,8±3,6. The most common age group is 18-35, accounting for 88.2%. The majority of patients giving birth for the first time was 63.7%, 20.6% of patients had a history of postpartum breast abscess in previous births. The majority of patients were treated with incision and drainage with 87.3%, the main incision was the radial incision, accounting for 94.4% with a cure rate of 94.4%. The majority of patients were treated with one type of antibiotic with 87.3%. Most patients had good scar healing with 93.1%, complications such as milk fistula, recurrence account for only 2.9% and 2%. Only 2% of patients complain about breast aesthetics after treatment. After treatment, 87.3% of patients were still breastfeeding on both sides. Conclusion: Treatment of breast abscesses with incision and drainage and aspiration under ultrasound is highly effective, most patients still breastfeed on both sides after treatment.