乳癌术后不同引流方式对皮下积液的影响  

INFLUENCE OF DIFFERENT DRAINAGES ON SUBCUTANEOUS FLUIDIFY AFTER SURGERY FOR BREAST CANCER

作　　者：李伟华[1] 朱延朋[1] 

机构地区：[1]中国人民解放军第401医院普外科,山东青岛266071

出　　处：《齐鲁医学杂志》2012年第6期473-475,共3页Medical Journal of Qilu

摘　　要：目的探讨乳癌改良根治术后皮下积液的发生原因及治疗方法。方法回顾2005年2月—2010年6月在我院行乳癌改良根治术的162例女性病人,比较不同引流方式下皮下积液的发生率。结果采用持续负压引流及弹性绷带加压包扎+乳胶管-导尿管序贯引流的病人,术后皮下积液的发生率、皮瓣坏死率、住院时间、导管留置时间、引流量均明显低于无乳胶管-导尿管序贯引流组及对照组,差异有显著性(χ2=11.60、9.45,F=21.60～40.75,q=3.82～12.84,P<0.01)。结论采用持续负压引流及弹性绷带加压包扎+乳胶管-导尿管序贯引流的方法,能显著降低乳癌改良根治术后皮下积液的发生率。Objective To investigate the causes of subcutaneous fluidify after modified radical mastectomy （MRM） and explore its management. Methods The data of 162 women received MRM between February 2005 and June 2010 in our hospital were revieved retrospectively, the incidence of postoperative subcutaneous fluidify in different methods of drainage was compared. Results For the patients who received continuous negative pressure drainage and elastic bandage wrap＋ latex tube-catheter replacement, the incidence of subcutaneous fluidify, skin flap necrosis, the hospital stay, tube indwelling time and drain volume were significantly lower than that in non-latex tube-catheter replacement of drainage and the control group （Zz： 11. 60,9. 45;F= 21. 60-40.75q=3.82-12.84;P〈0.01）. Conclusion Applying continuous negative pressure drainage and elastic bandage wrap＋ latex tube-catheter replacement of drainage can significantly reduce the incidence of subcutaneous fluidify after modified rad- ical mastectomy.

关 键 词：乳癌改良根治术 皮下积液 引流 

分 类 号：R619.9[医药卫生—外科学]