改进皮瓣游离方法预防乳癌术后皮下积液的对比分析  

Clinical prevention of subcutaneous fluid accumulation by modified skin flap isolation in patients with breast modified radical mastectomy

作　　者：丁敏[1] 季巧金[1] 

机构地区：[1]杭州师范大学临床医学院外科学教研室,浙江杭州310036

出　　处：《杭州师范学院学报（医学版）》2008年第5期317-319,共3页Journal of Hangzhou Teachers College :Medical Edition

摘　　要：目的探讨乳腺癌改良根治术中两种皮瓣分离方法预防皮下积液的效果。方法对72例乳腺癌患者随机分组,实验组采用皮下注射肾上腺素盐水分离部分皮瓣及常规处理,对照组采用全程电刀分离皮瓣及常规处理,观察术后拔管时间和皮下积液发生情况。结果实验组皮下积液发生率为11.1%,平均拔管时间为4.5 d;对照组皮下积液发生率为33.3%,平均拔管时间为7.3 d,两者有显著差异(P<0.05)。结论乳腺癌改良根治术中,采用皮下注射肾上腺素盐水分离部分皮瓣及常规处理,可明显减少术后皮下积液的发生。Objective To explore effects of two methods of skin flap isolation on preventing subcutaneous hydrops after breast modified radical mastectomy. Methods 72 cases with breast modified radical mastectomy were randomly divided into experimental group （36 cases） and control group （36 cases）. Flaps of 36 patients in the experimental group were isolated by electrocome after subcutaneous adrenaline saline injection, and flaps of 36 patients in the eontral group were isolated by electrocome without subcutaneous adrenaline saline injection. The times of tube-drawing and postoperative localized hydrops under skin flaps in these two groups were recorded and observed. Results The rate of the subcutaneous hydrops under skin flaps in the experimental group was only 11.1% , and the mean time of tube-drawing was 4.5 days. The rate of subcutaneous hydrops under skin flaps in the control group was 33.3% , and the mean time of tube-drawing was 7.3days. Conclusion The application of the skin dual-apart method in breast modified radical mastectomy can evidently reduces the subcutaneous hydrops under skin flaps.

关 键 词：乳腺肿瘤 乳癌改良根治术 皮下积液 预防 

分 类 号：R737.9[医药卫生—肿瘤]