探讨采用负压封闭引流(VSD)，治疗注射式隆乳患者产后并发急性乳腺炎的临床疗效。

选择2008年1月至2012年2月于本科接受治疗的聚丙烯酰胺水凝胶(PAHG)注射式隆乳产后并发急性乳腺炎的58例患者为研究对象。按照入院顺序，将其随机分成VSD组(n＝29，采用VSD治疗)和对照组(n＝29，采用传统切开引流治疗)(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准，得到该委员会批准)。两组患者的平均年龄，单侧及双侧乳腺炎患者例数，初产妇及经产妇例数及接受隆乳术后时间等比较，差异均无统计学意义(P>0.05)。

两组患者治疗过程均顺利，相应疗效评价指标，如伤口长度、换药次数、疼痛强度、愈合时间和抗菌药的使用时间等比较，VSD组均优于对照组，且差异均有统计学意义(P<0.05)。而两组住院时间比较，差异则无统计学意义(P>0.05)。

VSD治疗注射式隆乳产后并发急性乳腺炎安全有效，同时具有创伤小、患者痛苦轻、疤痕小、不易复发及并发症少等优点。

To study the clinical value of vacuum sealing drainage(VSD) for acute mastitis after augmentation mammaplasty with injection.

This was a prospective observational study with institutional ethics approval and written consent from each participant. From January 2008 to February 2012, a total of 58 cases of acute mastitis after augmentation mammaplasty with injection by polyacrylamide hydrogel (PAHD) were included in the study. They were randomly divided into VSD group(n=29, VSD) and control group(n=29, traditional incision and drainage) based on admission sequence mumber. There had no significant difference between two groups among average age, total number of unilateral and bilateral mastitis patients, primipara and by maternal, postoperative time after augmentation mammaplasty with injection, ect.(P>0.05).

Treatment courses of VSD and traditional incision and drainage were all well tolerated. There had significance difference between two groups among wound length, number of dressing changes, pain levels, phases of wound healing and data on the use of antimicrobial agents(P<0.05), and the indexes of assessment of curative effect in VSD group were much better than those in control group. There had no significant difference between two groups in duration of hospital stay (P>0.05).

VSD is of many adtvantages in the treatment of augmentation mammaplasty with injection such as minimally invasive, mild pain, few recurrence and complications, etc..