乳腺癌根治术后伤口使用胸带与传统弹力绷带包扎的临床效果观察  

Observation on clinical effect of chest bandage and traditional elastic bandage on wound after radical mastectomy

作　　者：王丽丽 杨汝莹 WANG Li-li;YANG Ru-ying(Sun Yat-Sen University Sun Yat-sen Memorial Hospital,Guangzhou 511400,China)

机构地区：[1]中山大学孙逸仙纪念医院乳腺肿瘤医学部三区,511400

出　　处：《中国实用医药》2019年第14期35-36,共2页China Practical Medicine

摘　　要：目的研究乳腺癌根治术后伤口使用胸带与传统弹力绷带包扎的临床效果。方法 300例行乳腺癌根治术治疗的患者,根据术后伤口包扎的方法分为对照组与观察组,各150例。对照组患者给予传统弹力绷带包扎,观察组患者给予胸带包扎(一体式压力绷带)。对比两组术后皮下积液情况、患侧上肢水肿情况以及出现皮下积液患者的积液持续时间。结果观察组患者皮下积液率和患侧上肢水肿率分别为10.00%、16.67%,均明显低于对照组的21.33%、33.33%,差异具有统计学意义(P<0.05)。观察组皮下积液患者积液持续时间为(9.7±1.5)d,短于对照组的(15.3±2.4)d,差异具有统计学意义(P<0.05)。结论乳腺癌根治术后患者伤口应用一体式压力绷带进行包扎,保持胸壁与皮瓣的紧密贴合,提高皮瓣的存活率,预防皮下积液发生,促进术后康复,值得临床推广。Objective To study the clinical effect of chest bandage and traditional elastic bandage on wound after radical mastectomy. Methods A total of 300 patients treated with radical mastectomy were divided by different wound dressing methods after operation into control group and observation group, with 150 cases in each group. The control group was dressed with traditional elastic bandage, and the observation group was dressed with chest bandage(one-piece pressure bandage). Comparison were made on postoperative subcutaneous effusion,upper limb edema on affected side and duration of subcutaneous effusion between the two groups. Results The observation group had obviously lower subcutaneous effusion rate and upper limb edema rate on affected side respectively as 10.00% and 16.67% than 21.33% and 33.33% in the control group, and their difference was statistically significant(P<0.05). The observation group had shorter duration of subcutaneous effusion as(9.7±1.5) d than(15.3±2.4) d in the control group, and the difference was statistically significant(P<0.05). Conclusion After the radical mastectomy, the wounds are wrapped with an one-piece pressure bandage to maintain the tight fit of the chest wall and the flap, thus improving the survival rate of the flap, preventing the occurrence of subcutaneous effusion, and promote postoperative recovery. It is worth clinical promoting.

关 键 词：乳腺癌根治术 一体式压力绷带 传统弹力绷带 皮下积液 术后康复 

分 类 号：R737.9[医药卫生—肿瘤]