摘要
目的探讨双管负压常规包扎和单管负压加压包扎引流预防乳腺癌改良根治术后皮下积液临床疗效。方法 96例乳腺癌改良根治术患者分为两组,双管负压引流常规组50例(观察组),在腋下及胸骨旁置硅胶管各1根,分别外接一次性负压引流器,伤口常规敷料覆盖,胸壁不加压包扎;单管负压加压包扎组46例(对照组),在腋下置橡皮管1根,外接一次性负压引流器,胸壁再加普通绷带加压包扎。观察术后平均置管时间、皮下积液发生率和皮瓣坏死率。结果观察组术后平均置管时间为(6.89±2.03)d,对照组为(7.86±2.95)d,两组间差异无统计学意义;观察组术后发生皮下积液6例(12.0%)明显少于对照组的13例(28.3%),具有统计学意义(x2=3.991,P<0.05);观察组皮瓣坏死6例,对照组8例,两组间差异无统计学意义。结论创面常规包扎加双管一次性负压引流器持续引流是降低乳腺癌改良根治术后皮下积液发生率的有效方法。
Objective To compare double-pipe suction drainage without pressure bandage with single-pipe suction drainage with pressure bandage in prevention of subcutaneous hydrops after modified radical mastectomy of breast cancer. Methods Ninety-six patients with modified radical mastectomy of breast cancer were randomly divided into two groups： 50 patients in double-pipe suction drainage without pressure bandage group （observation group） were treated with one suction drain in axillary fossa,the other suction drain besides sternum and routine wound dressing.46 cases in single-pipe suction with pressure bandage group （control group） were performed with only one suction drain in axillary fossa,wrapped in pressure dressing with common bandage.Average time of suction-pipe drainage and incidence of subcutaneous hydrops and skin flap necrosis were observed. Results The incidence of subcutaneous hydrops in observation group（12.0%） was lower than that in control group （28.3%）. The difference between two groups had statistic significance（χ22=3.991,P 〈 0.05）.The incidence of skin flap necrosis and Average time of suction-pipe drainage had no statistic difference between two groups. Conclusion Double-pipe suction drainage without pressure bandage can be effective in prevention of subcutaneous hydrops after modified radical mastectomy of breast cancer.
出处
《中国医药科学》
2013年第6期197-198,200,共3页
China Medicine And Pharmacy
关键词
双管负压引流
皮下积液
乳腺癌改良根治术
Double-pipe suction drainage
Subcutaneous hydrops
Modified radical mastectomy of breast cancer
