泰绫及明胶海绵在乳腺癌手术中的应用  

Application of the Absorbable Hemostatic Gauze and Gelatin Sponge in the Practical Breast Cancer Surgery

作　　者：雷博[1] 鲁祥石[1] 李逸文[2] 张明[1] 肖敏[1] 李志高[1] 

机构地区：[1]哈尔滨医科大学第三附属医院乳腺外科,黑龙江哈尔滨150081 [2]哈尔滨医科大学第二附属医院肿瘤内科,黑龙江哈尔滨150081

出　　处：《现代生物医学进展》2014年第4期716-718,共3页Progress in Modern Biomedicine

摘　　要：目的:观察可吸收性止血纱布(商品名:泰绫)及明胶海绵用于乳腺癌改良根治术的止血效果及其对引流量及拔管时间的影响。方法:将180例准备接受乳腺癌改良根治术的患者,随机分为泰绫组、明胶海绵组和对照组,每组各60例,术后分别给予泰绫、明胶海绵及空白对照处理,记录和比较两组术后第1、2、3天的引流量、引流液红细胞计数、总引流量及拔管时间。结果:与对照组比较,泰绫组、明胶海绵组术后1、2、3天的引流量均显著减少、引流液红细胞计数、总引流量均明显减少且拔管时间显著缩短,差别均有统计学意义(P<0.05)。与明胶海绵组相比,泰绫组术后1、2、3天引流量、引流液红细胞计数、总引流量及拔管时间亦显著减少或缩短,差别均有统计学意义(P<0.05)。结论:泰绫及明胶海绵在乳腺癌改良根治术后有较好的止血效果,减少了术后出血、渗血、皮下积液,且泰绫较明胶海绵效果更优。Objective： To observe the hemostatic effect of absorbable hemostatic gauze （Trade name： Tailing） and gelatin sponge in modified radical mastectomy and their impact on the amount of drainage and extubation time. Methods： 180 cases of breast cancer who were going to undergo modified radical mastectomy were randomly divided into 3 groups, the tailing group, gelatin sponge group and control group, 60 cases in each group, who were given Tailing, gelatin sponge and blank control after operation respectively, the fluid volume on the 1st, 2nd and 3rd postoperation, extubation time and total fluid volume were recorded and compared. Results： Compared with the control group, the fluid volume of Tailing group and gelatin sponge group on the 1 st, 2nd and 3rd postoperation were obviously decreased, drainage liquid red blood cell count and total volume were decreased and extubation time obviously was shortened （P〈0.05）. Compared with the gelatin sponge group, the fluid volume of Tailing group on the 1st, 2nd and 3rd postoperation, drainage liquid red blood cell count and total volume obviously were decreased and extubation time were shorten （P〈0.05）. Conclusion： Tailing and gelatin sponge had good hemostatic effect after modified radical mastectomy of breast cancer, which reduced the postoperative bleeding, ooze blood, subcutaneous effusion and complications. Tailing had a better effect than gelatin sponger.

关 键 词：乳腺癌 改良根治术 可吸收性止血纱布 明胶海绵 

分 类 号：R737.9[医药卫生—肿瘤]