真空负压引流瓶引流对乳腺癌术后皮下积液的预防和治疗分析  

The Prevention and Treatment Analysis of Vacuum Drainage Bottle Drainage for Breast Cancer Postoperative Subcutaneous Fluid

作　　者：代海鹏 蔡斌 贠军[2] 武斋文 强永春 

机构地区：[1]咸阳中铁二十局中心医院普外科,陕西咸阳712000 [2]第四军医大学西京医院普三科,陕西西安710032

出　　处：《现代生物医学进展》2013年第27期5344-5347,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨真空负压引流瓶引流对乳腺癌术后皮下积液的预防和治疗效果。方法:160例乳腺癌患者根据引流方法的不同分为治疗组与对照组各80例,两组都采用保乳手术,对照组常规缝合切口及加压包扎,治疗组缝合切口时留置真空负压引流瓶引流及普通包扎。结果:治疗组术后24小时引流量和引流时间明显少于对照组(P<0.05),但是两组的术后72小时引流量和术后72小时引流日平均引流量对比无明显差异(P>0.05)。两组都无皮瓣坏死、上肢淋巴水肿等严重并发症,治疗组术后积液的发生率明显少于对照组(P<0.05),对症处理后痊愈。J-P负压引流系统所能提供的负压明显低于文献提供的数据。结论:乳腺癌术后发生皮下积液是乳腺癌术后最常见并发症,真空负压引流瓶引流是有效的预防方法,同时能减少引流量与引流时间。Objective： To investigate the prevention and treatment effects of vacuum drainage bottle drainage for breast cancer postoperative subcutaneous fluid. Methods： 160 patients with breast cancer were equally divided into treatment group and control group, both groups were given breast-conserving surgery, the control group were given conventional suture, and the treatment group were given bandaged indwelling vacuum drainage bottle drainage and bandaging. Results： The postoperative drainage volume and drainage time af- ter 24 hours of the treatment group were significantly less than the control group （P〈0.05）. The two groups had no flap necrosis, upper extremity lymphedema and other serious complications. The Occurrence probability of subcutaneous fluid of the treatment group was sig- nificantly less than the control group （P〈0.05） and all the patients were recovered after symptomatic treatment. Conclusions： Breast can- cer postoperative subcutaneous fluid is the most common complication of breast cancer. The vacuum drainage bottle drainage is an el- - fective preventive method, and it can reduce drainage and drainage time at the same time.

关 键 词：乳腺癌 保乳手术 真空负压引流瓶引流 皮下积液 J-P负压引流系统 

分 类 号：R737.9[医药卫生—肿瘤]