Comparison of clinical efficacy of ultrasound-guided puncture and fluid extraction combined with vacuum cupping and VSD in the treatment of fistula stage plasma cell mastitis
YANG Meining
WANG Fang
HONG Hua
YUAN Jia
SUN Yue
SUN Ran
LIU Qian
Abstract：Objective To compare the clinical efficacy of ultrasound-guided puncture and aspiration combined with vacuum cupping and vacuum sealing drainage(VSD)in the treatment of fistula stage plasma cell mastitis(PCM).Methods Sixty cases of PCM in fistula stage at Inner Mongolia Autonomous Region People's Hospital from January 2021 to January 2024 were collected and randomized into 30 cases each in the intervention group and VSD group,according to the presence or absence of broken skin surface was categorized into ulcerated and non-ulcerated type.In the intervention group,ultrasound-guided puncture and aspiration and hedging,vacuum cupping and negative pressure suction were performed.A negative pressure drainage device was placed after fistula resection in the VSD group.The clinical efficacy of the two treatment protocols were compared.Results The differences between the intervention group and the VSD group in terms of total effective rate of treatment,short-term recurrence rate,and preoperative and postoperative VAS scores were not statistically significant(P>0.05).The initial maximum diameter of the lesion,postoperative scar area,and wound healing time were smaller in the intervention group than in the VSD group;the degree of pain relief,breast shape integrity,and patient satisfaction were better than in the VSD group,and the treatment time was longer than in the VSD group,and the difference was statistically significant(P<0.05).Conclusion There is no significant difference in clinical efficacy between ultrasound-guided puncture and fluid extraction combined with vacuum cupping and VSD,and patient satisfaction is higher,it can be an effective treatment option for fistula stage PCM patients with fertility requirements or who value the integrity of the breast shape.
Keywords：plasma cell mastitisultrasonic guidancepuncture extractionvacuum cuppingvacuum sealing drainage
Publication Date：2025-03-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 284-289 )