乳腺癌腹壁下深血管穿支皮瓣乳房重建术后引流的分析  

To Analyze the Indwelling Time After the Breast Construction With Deep Inferior Epigastric Perforator Flap

作　　者：何丽娟[1] 傅建琴[1] HE Lijuan;FU Jianqin(Department of Breast Surgery, Union Hospital Affiliated to Fujian Medical University, Fuzhou Fujian 350001, China)

机构地区：[1]福建医科大学附属协和医院乳腺外科,福建福州350001

出　　处：《中国继续医学教育》2018年第35期94-96,共3页China Continuing Medical Education

摘　　要：目的探讨游离腹壁下深血管穿支皮瓣(deep inferior epigastric perforator flap,DIEP)乳房重建术后引流管留置时间的影响因素。方法收集44例接受游离腹壁下深血管穿支皮瓣乳房重建术的患者资料,回顾性分析引流管留置时间较长者(> 7天)的一般资料差异情况,将有差异项带入Logistic回归方程,分析DIEP乳房重建术后引流管留置时间的影响因素。结果所选取调查对象中,共有12例患者发生引流管留置时间超过7天,占27.27%。研究发现患者的年龄、身体质量指数(BMI)、重建时机、功能锻炼、接受的疾病知识宣教、饮食指导,发生引流管留置时间延长与未发生引流管留置时间延长对象对比,差异均具有统计学意义(P <0.05)。将上述因素带入Logistic回归方程计算发现,上述因素均与引流管留置时间相关。结论乳腺癌DIEP乳房重建术后引流管留置时间的影响因素包括患者的年龄、BMI、重建时机、功能锻炼、所接受的疾病知识宣教和饮食指导等;因此,应在术前对患者的危险因素进行筛查,及时干预,促进患者早期康复。Objective To study the influence factors of indwelling time after the breast reconstruction with deep inferior epigastric perforator flap(DIEP). Methods The clinical data about 44 breast carcinoma patients underwent the breast reconstruction with DIEP was collected. The clinical data about patients with indwelling time(> 7 days) was introduced into the Logistic regression equation to analyze its influence factors. Results Among the selected subjects, 12 patients(27.27%) had drainage tube retention for more than 7 days. The study found that the patients’ age, body mass index(BMI), reconstruction time, functional exercise, disease knowledge education, dietary guidance, prolonged drainage tube indwelling time and no prolonged drainage tube indwelling time were significantly different(P < 0.05). The above factors were brought into the Logistic regression equation and the results showed that the above factors were all related to the retention time of the drainage tube. Conclusion After the breast reconstruction with DIEP, the influence factors of indwelling time are the patient’s age, BMI, reconstruction opportunity, functional exercise, health education of illness knowledge and dietary instruction. Therefore, the preoperative screening and proper interventions can promote the patient’s fast recovery.

关 键 词：乳腺癌 游离腹壁下深血管穿支皮瓣 乳房重建术 引流管留置时间 重建时机 功能锻炼 

分 类 号：R737[医药卫生—肿瘤]