假体专用胸衣联合压力传感器在Ⅰ期假体植入乳房重建患者中的应用效果  

Application effect of the combination of special corset for prosthesis and pressure sensors in breast reconstruction patients with stageⅠprosthesis implantation

作　　者：李敏 LI Min(Department of Brest and Thyroid Surgery,Beijing Haidian Hospital,Haidian Section of Peking University Third Hospital,Beijing 100080,China)

机构地区：[1]北京市海淀医院北京大学第三医院海淀院区乳腺甲状腺外科,北京100080

出　　处：《妇儿健康导刊》2023年第1期112-115,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨假体专用胸衣联合压力传感器在Ⅰ期假体植入乳房重建患者中的临床应用效果,旨在减少Ⅰ期假体植入乳房重建患者的术后并发症。方法选取某医院乳腺甲状腺外科60例乳腺癌行Ⅰ期假体植入乳房重建的患者作为研究对象,其中2020年6月至2021年8月收治的20例患者为实验组1,2019年3月至2020年5月收治的20例患者为实验组2,2018年1月至2019年2月收治的20例患者为对照组。三组在常规治疗、护理的基础上,实验组1应用假体专用胸衣联合压力传感器,实验组2应用弹性胸带联合压力传感器,对照组应用弹性胸带。评价三组患者皮下积液发生率、乳头乳晕坏死发生率、假体异位发生率、积液时间、拔管时间、住院时间、术后美容效果。结果实验组l、实验组2皮下积液发生率、乳头乳晕坏死发生率低于对照组;实验组l假体异位发生率低于实验组2、对照组(P<0.05)。实验组1积液时间短于对照组;实验组1拔管时间、住院时间短于实验组2、对照组(P<0.05);实验组1术后美学效果高于实验组2、对照组(P<0.05)。结论应用假体专用胸衣联合压力传感器可以预防Ⅰ期假体植入乳房重建患者术后皮下积液、假体异位、乳头乳晕坏死的发生,促进患者快速康复,还可以提高患者术后美容效果。Objective To investigate the clinical application effect of the combination of special corset for prosthesis and pressure sensors in breast reconstruction patients with stageⅠprosthesis implantation,in order to reduce postoperative complications of stageⅠprosthesis implantation of breast reconstruction patients.Methods A total of 60 patients with breast cancer undergoing stageⅠprosthesis reconstruction in the Department of Breast and Thyroid Surgery of a hospital were selected as the research objects,including 20 patients admitted from June 2020 to August 2021 as experimental group 1,20 patients admitted from March 2019 to May 2020 as experimental group 2,and 20 patients admitted from January 2018 to February 2019 were selected as the control group.On the basis of conventional treatment and nursing care,the experimental group 1 applied prosthetic corset combined with pressure sensor,the experimental group 2 applied elastic chest band combined with pressure sensor,and the control group applied elastic chest band.The incidence of subcutaneous effusion,nipple and areola necrosis,prosthesis ectopic,effusion time,extubation time,length of hospital stay and postoperative cosmetic effect were evaluated in the three groups.Results The incidence rates of subcutaneous effusion and nipple and areola necrosis in experimental groups 1 and 2 were lower than those in control group.The ectopic rate of prosthesis in experimental group 1 was lower than that in experimental group 2 and control group(P<0.05).The effusion time of experimental group 1 was shorter than that in control group.The extubation time and hospital stay in experimental group 1 were shorter than those in experimental group 2 and control group(P<0.05).The postoperative aesthetic effect in experimental group 1 was higher than that in experimental group 2 and control group(P<0.05).Conclusion The application of prosthesis corset combined with pressure sensor can prevent the occurrence of subcutaneous effusion,prosthesis ectopic and nipple and areola necrosis a

关 键 词：乳房重建 假体植入 新型胸带 压力传感器 

分 类 号：R737.9[医药卫生—肿瘤]