乳腺癌术后皮下积液的防治  

To Prevent Subcutaneous Hydrops after Radical Mastectomy

作　　者：赵明勋[1] 李明玉[1] 

机构地区：[1]河北省衡水市哈励逊国际和平医院,衡水053000

出　　处：《中国医药导报》2006年第6期53-54,共2页China Medical Herald

摘　　要：目的探讨乳腺癌手术中皮瓣游离方法对术后皮下积液影响。方法将2003年10月-2005年7月间我院收治的108例乳癌改良根治术的病人分为两组,实验组60例,手术刀游离皮瓣,对照组48例,电刀游离皮瓣,回顾性分析比较两组皮下积液发生率及发生时间。结果实验组皮下积液发生率为16.7%,对照组皮下积液发生率为33.3%,两组比较有显著差异(P<0.05)。皮下积液易发生在拔管后2-4天时间。结论为减少乳腺癌术后皮下积液发生,术中应选择手术刀游离皮瓣,拔管后2-4天应注意及时发现并处理皮下积液。Objective To study the incidence of subcutaneous hydrops after the operation of breast cancer in relation to the operative methods.Methods We studied the incidence of subcutaneous hydrops from 108 cases of breast cancer after the modified radical mastectomy.These cases were divided into 2 groups.the experimental group(60 cases dissociated skin flap with scalpel) and the the control group(48 cases dissociated skin flap with electric knife).Results The incidence of subcutaneous hydrops after the mastectomy in the experimental group with scalp was significantly lower than that in the control group with electric knife(10/60VS.16/48,P<0.05).The subcutaneous hydrops always occurred between 2-4 days after pulling tubes.Conclusion Using electric knife during the mastectomy could be regarded as a causes of the subcutaneous hydrops after operation.Scalp should be applied in the mastectomy to reduce the incidence of the subcutaneous hydrops.

关 键 词：乳腺癌 皮下积液 改良根治手术 

分 类 号：R[医药卫生]