缝合固定、加压包扎预防乳腺癌改良根治术后皮瓣坏死和皮下积液  

Clinical effect of suture fixation and compression dressing on the prevention of flap necrosis and seroma after modified radical mastectomy of breast cancer

作　　者：林思园[1] 张利华[1] 李想娣[1] 梁宝珍[1] 

机构地区：[1]广东省南方医科大学附属东莞石龙人民医院乳腺,甲状腺专科,广东东莞523321

出　　处：《临床和实验医学杂志》2011年第14期1086-1087,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的评价缝合固定、加压包扎方法预防乳腺癌改良根治术后皮瓣坏死与皮下积液的作用。方法乳腺癌改良根治术后应用缝合固定、加压包扎156例,观察皮瓣坏死与皮下积液的发生几率。与前期164例乳腺癌改良根治术后单纯切缘皮肤全层缝合的皮瓣坏死与皮下积液的发生率相比较。结果缝合固定、加压包扎方法的156例患者皮瓣坏死发生率7.6%,皮下积液发生率3.8%。单纯切缘皮肤全层缝合的164例患者皮瓣坏死发生率18.2%,皮下积液发生率为12.8%。经统计学检验表明:两组的皮瓣坏死发生率与皮下积液发生率具有显著性差异(P<0.01)。结论缝合固定、加压包扎可有效预防乳腺癌改良根治术后皮瓣坏死与皮下积液。Objective To evaluate the effect of suture fixation and compression dressing on the prevention of skin flap necrosis and seroma after modified radical mastectomy of breast cancer. Methods One hundred fifty - six patients with breast cancer received suture fixation and compression dressing after modified radical mastectomy, the rate of skin flap necrosis and seroma were observed and compared with 164 patients underwent modified radical mastectomy without suture fixation and compression dressing. Results The incidences of skin flap necrosis and seroma in suture fixation group were 7.6% and 3.8% respectively,and those of control group were 18.2% and 12.8% respectively, the differences between them were statistically significant （ P 〈 0.01 ; respectively）. Conclusion The method of suture fixation and compression dressing showed good effect in preventing the occurrence of skin flap necrosis and seroma.

关 键 词：乳腺肿瘤 改良根治术 皮瓣坏死 皮下积液 

分 类 号：R737.9[医药卫生—肿瘤]