自制胸壁包扎装置在乳癌改良根治术中的应用  

HOME-MADE CHEST WALL DRESSING DEVICE FOR MODIFIED RADICAL MASTECTOMY

作　　者：王炳高[1] 袁新颜[1] 李凤月[1] 侯红[1] 李振凤[1] 

机构地区：[1]青岛大学医学院第二附属医院乳腺外科,山东青岛266042

出　　处：《齐鲁医学杂志》2015年第6期652-653,657,共3页Medical Journal of Qilu

摘　　要：目的通过自制胸壁包扎装置与传统的胸壁加压包扎法在乳癌改良根治术中应用的比较,探讨自制胸壁包扎装置的临床应用价值。方法我院乳腺病诊疗中心收治的行乳癌改良根治术病人250例,随机分为实验组120例(应用自制胸壁包扎装置)和对照组130例(应用传统的胸壁加压包扎法),比较两组病人引流管放置时间、皮下积血或积液发生率、术后皮瓣血运差或坏死发生率。结果与对照组比较,实验组病人引流管放置时间短,皮下积血或积液发生率、术后皮瓣血运差或坏死发生率低,差异均有统计学意义(F=126.56,χ2=17.24、4.10,P<0.05)。结论行乳癌改良根治术的病人采用自制胸壁包扎装置可明显减少术后引流管放置时间,降低皮下积血或积液及术后皮瓣血运差或坏死的发生率,提高病人的生活质量。Objective To assess the clinical application value of home-made chest wall depressing device（CWDD）for modified radical mastectomy versus traditional chest wall pressure dressing（CWPD）. Methods A modified radical mastectomy was performed in our hospital for 250 patients with breast cancer.After surgery,the patients were randomized to experimental group（120patients,using home-made CWDD）,and control group（130patients,using traditional CWPD）.A comparison was carried out between the two groups in regard to indwelling time of drainage tube,incidence of subcutaneous hemorrhage or hydrops,poor blood supply or skin flap necrosis. Results Compared with the control group,the indwelling time of drainage tube in the experimental group was shorter,the rates of subcutaneous hemorrhage or hydrops,poor blood supply of skin flap or necrosis were lower,the differences were statistically significant（F=126.56;χ2=17.24,4.10;P〈0.05）. Conclusion Employing homemade chest wall depressing device after modified radical mastectomy can greatly reduce postoperative indwelling time of a drainage tube,lower the incidence of subcutaneous hemorrhage or hydrops,postoperative poor blood supply or necrosis of skin flap,and improve patient’s quality of life.

关 键 词：乳房肿瘤 乳房切除术 改良根治性 胸壁包扎装置 设备设计 

分 类 号：R608[医药卫生—外科学]