皮瓣多点固定预防乳腺癌术后皮下积液的应用价值  

Clinical value of skin flap fixation to prevent the seroma formation after modified radical mastectomy of breast cancer.

作　　者：李建军 李士秋 程勇 李国栋 陈泽忠 

机构地区：[1]山东省宁阳县第一人民医院普外科,271400

出　　处：《中国医药》2007年第10期624-626,共3页China Medicine

摘　　要：目的评价皮瓣多点固定法在预防乳腺癌改良根治术后皮下积液中的价值。方法180例患者随机分为实验组(94例)和对照组(86例),实验组术中采用皮瓣内面与胸壁多点缝合固定,对照组采用常规切口缝合;比较2组术后引流量和皮下积液的发生情况。结果术后实验组和对照组总引流量,分别为(118±17)ml和(173±32)lm,差异有统计学意义(P<0.05),2组分别有9例(9.57%)和23例(26.74%)发生皮下积液,差异有统计学意义(P=0.0049)。结论采取皮瓣内面与胸壁多点固定方法,可以明显降低术后引流量,减少皮下积液的发生率。Objective To evaluate the clinical value of skin flap fixed with chest wall to prevent the seroma formation in modified radical mastectomy of breast cancer. Methods 180 patients with primary breast cancer were divided into experiment group （n = 94）and control group （n = 86）. Skin flap inside was fixed with chest wall in many points in the experiment group and routine sewed in control group. Postoperative total drainage volume and frequency of seroma formation were recorded and compared. Results The total volume of aspirations were （ 118 ± 17） ml vs （ 173 ± 32） ml （ P 〈 0. 05 ） and seromas developed in 9 vs 23 cases （9.57 % vs 26.74 %, P = 0. 0049 ） respectively in experiment group and control group. Conclusion The skin flap inside with chest wall fixed in many points may reduce the total drainage volume and incidence of postoperative seromas.

关 键 词：乳腺肿瘤 外科皮辩 固定 皮下积液 

分 类 号：R737.9[医药卫生—肿瘤]