摘要
目的探讨乳腺癌术后皮瓣下积液的发生原因及预防措施。方法对本院2005年至2010年收治并行乳腺癌根治术的145例患者,随机分为2组,实验组采用负压引流及弹力绷带加压包扎+橡胶管-输液管更换引流术,对照组采用负压引流及弹力绷带加压包扎+橡胶管引流术。比较不同引流方式下皮瓣下积液的发生率。结果实验组患者术后皮瓣下积液的发生率仅4.2%,明显低于对照组的12.3%(P<0.01);且患者皮瓣坏死率、总引流量、导管留置时间及住院时间也明显低于对照组。结论采用弹力绷带加压包扎+持续负压引流+橡胶管-输液管更换引流术,能显著降低乳腺癌根治术后皮瓣下积液的发生率。
Objective To explore the prevention and treatment method of subcutaneous hydrops after radicalmastectomy of breast cancer.Methods Clinical data of 145 cases,who underwent radical or modified mastectomy.The patients were randomly divided into two groups.Patients in experimental group received double drainage with negative pressure,elastic bandage and rubber-perfusion tube swithing drainage.In control group,patients received only rubber tubular drainage.We compare incidence of accumulative liquid of subcutaneous in two groups.Results 3 cases（4.2%） occurred hypodemic hydrops in the experimentai group,9 cases（12.3%） in the control group（P0.01）.There was significant difference between the two groups according to incidence of skin flap necrosis, total drainage amount,tube-placement time and length of stay.Conclusion The method of double drainage with negative pressure, elastic bandage and rubber-perfusion tube swithing drainage is much effective and helpful for reducing the postoperative hypodemic hydrops after mastectomy.
出处
《中外医疗》
2010年第30期24-25,27,共3页
China & Foreign Medical Treatment
关键词
乳腺癌
根治术
皮瓣下积液
Breast cancer
Radicalmastectomy
Subcutaneous Hydrops
