Ultrasound guided needle aspiration and cavity washing versus incision and drainage to treat breast abscesses: a meta-analysis

作者：Bing, Fu; Jie, Li^*

来源：International Journal of Clinical and Experimental Medicine, 2017, 10(6): 8656-8665.

• Breast abscess
• ultrasound guided
• puncture
• incision and drainage
• meta-analysis

Objective: To evaluate the clinical effect of ultrasound guided puncture irrigation (UGPI) and traditional incision and drainage (TID) in the treatment of breast abscess. Methods: Electronic databases: China National Knowledge Infrastructure (CNKI), Wanfang Database, China Biological Medicine (CBM), PubMed, Cochrane Library, Web of Science, Embaseand Google databases were searched within a date range from their inception up to December 2016. Any randomized controlled trials (RCTs) about comparison between UGPI versus TID to treat the breast abscesses were retrieved and collected. Data related to clinical outcomes were extracted by two reviewers independently. Statistical analyses were carried out using Stata 12.0. Results: Eight studies were included, involving 373 participants according to the inclusion criteria. UGPI was associated with more cure rate (RR=1.20, 95% CI=1.01-1.44; P=0.042), effective rate (RR=1.28; 95% CI=1.12-1.46; P=0.000). What's more, UGPI was associated with less healing time (WMD=-9.90; 95% CI=-12.55-7.25; P=0.000) and the length of the scar (WMD=-2.88; 95% CI=-3.43-2.33; P=0.000). There was no significant difference between the complications (RR=0.20; 95% CI=0.060.67; P=0.009). Conclusions: Compared with TID, UGPI has more cure rate, more effective rate, the less heeling time and scars as well as complications.

• 出版日期2017
• 单位临沂市人民医院; 山东大学