口腔负压吸引预防乳腺癌术后上肢淋巴水肿和皮下积液30例  

Study of oral negative pressure for clinical prevention of upper limb lymphedema and subcutaneous seroma after breast cancer surgery

作　　者：牟洁[1,2] 王崇杰[1,3] 王燕燕[1] 张凯[1] 高海东[1] 步玉兰[1] 朱松颖[1] 刘执玉[4] 马榕[1] 

机构地区：[1]山东大学齐鲁医院乳腺外科,山东济南250012 [2]日照港口医院外科,山东日照276826 [3]山东省医科院附属医院外科,山东济南250031 [4]山东大学医学院解剖学教研室,山东济南250012

出　　处：《中国现代普通外科进展》2010年第10期776-778,共3页Chinese Journal of Current Advances in General Surgery

基　　金：山东省自然基金资助项目(ZR2009CM007)

摘　　要：目的:探讨口腔负压吸引对乳腺癌术后上肢淋巴水肿和皮下积液的影响和治疗作用。方法:对30例乳腺癌术后患者进行口腔负压吸引治疗,比较与对照组患者上肢淋巴水肿和皮下积液的发生情况及完全拔除引流管的时间。结果:实验组3例患者术后发生上肢淋巴水肿,对照组10例术后发生上肢淋巴水肿(χ2=4.812,P<0.05);实验组患者较早完全拔除引流管(χ2=16.530,P<0.05),皮下积液发生率未增加(χ2=1.298,P>0.05)。结论:口腔负压吸引可以显著降低乳腺癌术后上肢淋巴水肿的发生率,并缩短持续皮下负压引流的时间,同时不增加皮下积液的发生率,为临床预防和治疗乳腺癌术后近期的上肢淋巴水肿和皮下积液提供了新的思路和方法。Objective： To study the effection of the establishment of oral negative pressure for clinical prevention and treatment of upper limb lymphedema and subcutaneous fluid after breast cancer surgery.Methods： Established oral negative pressure for 30 test group patients,compared the incidence of upper limb lymphedema and subcutaneous fluid collection,and the time of drainage tube completely removed with control group patients.Results： The incidence of upper limb lymphedema was 10%（3/30） in experimental group patients with 33.3%（10/30） in control group of patients（χ^2=4.812,P〈0.05）.The time of drainage tube completely removed was shorter in experimental group（χ^2=16.530,P〈0.05）.There was no increase of the incidence subcutaneous fluid collection in experimental group（χ^2=1.298,P〈0.05）.Conclusion： The establishment of oral negative pressure provides a new way of thinking and methods for clinical prevention and treatment of upper limb lymphedema and subcutaneous seroma after breast cancer surgery.

关 键 词：乳腺肿瘤 淋巴水肿 皮下积液 口腔负压 

分 类 号：R655.8[医药卫生—外科学]