高负压引流在乳腺癌改良根治术中的应用与护理  

Applications and care of high negative pressure drainage in the modified radical mastectomy

作　　者：李春梅[1] 陈锦坚[1] 吴燕梅[1] 刘莉萍[1] 罗爱萍[1] 何颜英[1] 

机构地区：[1]广东省肇庆市第一人民医院普外科,肇庆526021

出　　处：《当代护士（下旬刊）》2013年第1期57-59,共3页Modern Nurse

摘　　要：目的探讨一次性闭合高负压引流系统在乳腺癌根治术后创面引流中的临床应用效果及护理方法。方法对40例乳腺癌患者术后采用一次性闭合高负压引流系统(德国pfm医疗公司)(实验组),40例乳腺癌术后患者采用传统负压引流球引流(对照组),比较2组患者术后皮下积液、皮瓣坏死的发生率。结果对照组出现皮下积液14例,皮瓣坏死6例,实验组出现皮下积液3例,皮瓣坏死1例。2组在皮下积液、皮瓣坏死等方面差异有统计学意义(P<0.05)。结论一次性闭合高负压引流用于乳腺癌术后创面的引流,减少了皮下积液及皮瓣坏死的发生,明显提高了患者的舒适度,缩短了住院时间。Objective To investigate wound drainage effect and clinical care of the one-time closing high negative pressure drainage system in the modified radical mastectomy. Methods There were 40 patients of breast cancer with a one-time closing high negative pressure drainage device （pfm Medical, Germany） （experimental group）, and 40 ones with the traditional ball drainage suction drainage （control group）. Two groups were compared with subcutaneous effusion and the incidence of flap necrosis. Results There were 14 cases of subcutaneous effusion and 6 of flap necrosis in the control group, while 3 cases of subcutaneous effusion and 1 of skin flap necrosis in the experimental group. And there were statistical differences between two groups in subcutaneous effusion and skin flap necrosis （P〈0.05） Conclusion One-time closing high negative pressure drainage in the wound drainage after breast cancer can reduce the subcutaneous effusion and flap necrosis, improve patients＂ comfort and shorten the hospital stay.

关 键 词：高负压引流 乳腺癌改良根治术 护理 

分 类 号：R473.73[医药卫生—护理学]