两种皮瓣游离方式对乳腺癌根治术后皮下积液的影响  

Effect of two types of dissection of skin flap on subcutaneous effusion after radical mastectomy

作　　者：孙福群[1] 李键[1] 刘宝梅[1] 

机构地区：[1]滨州医学院附属医院无棣医院普外科,251900

出　　处：《中国医师进修杂志（外科版）》2007年第8期9-10,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨皮瓣游离方式对乳腺癌根治术后皮下积液的影响。方法 将148例乳腺癌患者按皮瓣游离方式分为两组，A组（75例）采用皮下注射肾上腺素生理盐水后用手术刀游离皮瓣，B组（73例）用电刀游离皮瓣，比较两组术中出血量、术后5d总引流量及皮下积液的情况。结果 A、B两组术中出血量分别为（210．6±79．3）ml、（193．7±103．5）ml，差异无统计学意义（P〉0．05），术后5d总引流量分别为（178．2±103．1）ml、（307．0±214．8）ml，差异有统计学意义（P〈0．01）；皮下积液发生率B组（19．2％）明显高于A组（6．7％）P〈0．05。结论 在乳腺癌根治术中皮下注射肾上腺素生理盐水，用手术刀直接游离皮瓣，术后皮下积液发生率低，是一种较好的皮瓣游离方法。Objective To explore the effect of dissection methods of skin flap on subcutaneous effusion after radical mastectomy. Methods One hundred and forty-eight cases of breast cancer patients were divided into two groups randomly,group A （75 cases）used the methods of dissecting of skin flap with scalpel after hypodermic injection of adrenalin, group B （73 cases ） was with only electric knife. The quantity of bleeding during operation, total quantity of drainage 5 days after operation and the cases of subcutaneous effusion of two groups were compared. Results The quantity of bleeding was （210.6 ± 79.3）ml in group A, （193.7 ±103.5）ml in group B,there was no notable significance between two groups （P 〉 0.05）. The quantity of drainage 5 days after operation were（ 178.2 ± 103.1 ）, （307.0 ±214.8）ml,respectively,P 〈 0.01, and the rate of subcutaneous effusion in group B was much higher than that in group A （P〈 0.05）. Conclusion Injecting adrenalin sodium chloride subcutaneously and dissecting skin flap directly with scalpel in radical mastectomy operation has the low occurrence rate of subcutaneous effusion after operation, which is a good method of dissection of skin flap.

关 键 词：乳腺肿瘤 外科皮瓣 皮下积液 

分 类 号：R737.9[医药卫生—肿瘤]