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目的两种皮瓣分离结合双管负压引流预防乳腺癌根治术后皮下积液效果。方法将78例患者随机分为刀片游离皮瓣组(42例)和电刀游离皮瓣组(36例),均应用双管负压引流,观察二组患者术后皮下积液发生率。结果乳腺癌根治术后两组皮瓣分离组,皮下积液的发生率分别为7.14%(3/42)和25.0%(9/36),P<0.05,差异有统计学意义。结论乳腺癌术应用刀片游离皮瓣结合双管负压引流可以更有效的预防皮下积液并发症。
Objective Two kinds of flap combined with double negative pressure drainage to prevent subcutaneous effusion after radical mastectomy. Methods Seventy-eight patients were randomly divided into three groups: the free flap of the blade (42 cases) and the free flap of the electric knife (36 cases). Both groups were treated with negative pressure drainage to observe the incidence of postoperative subcutaneous effusion. Results After radical mastectomy, the incidence of subcutaneous effusion in the two groups was 7.14% (3/42) and 25.0% (9/36) respectively, P <0.05, the difference was statistically significant. Conclusion Breast cancer surgery with free flap combined with double negative pressure drainage can be more effective in preventing subcutaneous fluid complications.