摘要
目的分析颈淋巴清扫术后拔除负压引流管的时机选择。方法将107例行颈淋巴清扫手术术后放置负压引流管的患者随机分为两组,55例患者(Ⅰ组)术后引流量小于50 mL时即拔除负压引流管,其余52例患者(Ⅱ组)引流量小于25 mL时拔除,比较两组患者拔管后颈部出现血肿、积液的发生率、两组患者置管时间及平均总引流量之间有无统计学意义。结果Ⅰ组2例患者拔除引流管后颈部出现血肿、积液,发生率为3.6%,Ⅱ组也有2名患者拔管后发生血肿,发生率为3.8%;Ⅰ组平均总引流量378 mL,Ⅱ组平均总引流量为402 mL;Ⅰ组平均置管时间为3.1 d,Ⅱ组平均为4.8 d。结论颈淋巴清扫术后放置负压引流管,在引流量小于50 mL即可达到最有效地引流目的,同时可避免因放置引流管时间过长所引起的伤口感染等并发症出现。
Objective To analyze timing of removal of negative pressure drainage pipes after neck dissection. Methods I07 patients who had been placed negative pressure pipe after neck dissection were assigned into 2 groups, neck drainage pipes of 55 patients（ group I ） were removed when the amount of drainage over a 24-hour period fell to 50 mL or less. Pipes of the rest 52 patients（ group ]] ） were removed when the amount of drainage over a 24-hour period fell to 25 mL or less. We eomparccl the incidence of hematoma and hydrops, and analyzed if it had statistical significance between time of pipes being placed and average total drainage volume. Results 2 patients of group I had hematoma and hydrops after removal of neck drainages, the incidence is 3.6% ;and there were also 2 patients of group ]] who had hematoma and hydrops, the incidence is 3.8%. The average total drainage volume of group I was 378 mL, and volume of group ]] was 402 mL. Average time of pipes being placed in group ] was 3. I days,and in group II was 4.8 days. Conclusions It is best to remove negative pressure drainage pipes after neck dissection when the amount of drainage over a 24-hour period fell to 50 mL or less, and it can avoid a few complications if drainage pipes were not placed too long.
出处
《安徽医药》
CAS
2013年第6期980-981,共2页
Anhui Medical and Pharmaceutical Journal
关键词
颈淋巴清扫术
负压引流
并发症
neck dissection
negative pressure drainage
complication
