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目的比较双管负压引流加胸壁常规包扎与传统的单管负压引流加胸部加压包扎对乳腺癌改良根治术后皮下积液的疗效。方法回顾性分析本院肿瘤外科行乳腺癌改良根治术的103例患者的临床资料,按术后引流方式的不同分为改良组55例,即术后采用腋下与胸骨旁双根硅胶引流管负压吸引加胸壁常规包扎的方式;对照组48例,即采用传统的腋下单根硅胶引流管负压吸引加胸壁加压包扎的方式。结果改良组皮下积液的发生率9.1%(5/55)较对照组22.9%(11/48)明显减低,差异有统计学意义(P<0.05)。且改良组患者的平均放置引流管的时间,住院时间均小于对照组,差异均有统计学意义(P均<0.05)。结论双管负压引流加胸壁常规包扎能减低皮下积液的发生率,缩短拔管时间及住院时间,是乳腺癌改良根治术后皮下积液的有效防治措施,值得临床推广。
Objective To compare the curative effect of double-tube negative pressure drainage plus conventional chest wall dressing with traditional single-tube negative pressure drainage and thoracic pressure bandaging on subcutaneous effusion after modified radical mastectomy for breast cancer. Methods The clinical data of 103 patients with modified radical mastectomy for breast cancer in our hospital were retrospectively analyzed. According to the different postoperative drainage methods, 55 patients in the modified group were divided into two groups: the unilateral urethral silicone drainage tube Negative pressure to attract chest wall with conventional dressing method; control group of 48 cases, that is, the traditional single underarm silicone drainage tube vacuum suction and chest wall pressure bandaging. Results The incidence of subcutaneous fluid in the modified group was significantly lower than that in the control group (9.1%, 5/55) (22/9) (11/48) (P <0.05). In the modified group, the mean drainage time and hospitalization time were all less than those in the control group (all P <0.05). Conclusions Double-tube negative pressure drainage combined with conventional chest wall dressing can reduce the incidence of subcutaneous effusion, shorten the time of extubation and hospital stay, and is an effective prevention and treatment measure for subcutaneous effusion after modified radical mastectomy for breast cancer. It is worthy of clinical promotion.