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目的:观察分析术中腋窝应用明胶海绵对于乳腺癌术后腋窝淋巴瘘的预防作用。方法:将126例乳腺癌腋窝淋巴结清扫患者随机分入观察组和对照组,术中腋窝应用或不应用明胶海绵,比较两组的腋窝淋巴瘘发生率。结果:观察组腋窝淋巴瘘发生率为8.6%(6/70),对照组腋窝淋巴瘘发生率为23.2%(13/56),两组腋窝淋巴漏发生率有统计学差异(P<0.05);两组术后第7天24 h腋窝引流量分别为(9.85±5.31)m L、(13.95±6.58)m L,组间差异有统计学意义(P<0.05);两组患者术后其他并发症发生率均无统计学差异(P>0.05)。结论:术中应用明胶海绵对于乳腺癌术后腋窝淋巴漏的预防作用确切有效、简便易行、安全可靠,值得临床推广。
Objective: To observe and analyze the preventive effect of gelatin sponge in armpit during operation on axillary lymphatic fistula after operation of breast cancer. Methods: 126 cases of breast cancer patients with axillary lymph node dissection were randomly divided into observation group and control group, with or without gelatin sponge in the axillary region. The incidence of axillary lymph fistula was compared between the two groups. Results: The incidence of axillary lymph fistula was 8.6% (6/70) in the observation group and 23.2% (13/56) in the control group. There was a significant difference in the incidence of axillary lymph node leakage between the two groups (P <0.05) (9.85 ± 5.31) m L and (13.95 ± 6.58) m L respectively at 24 h after operation on the 7th day after operation. The difference between the two groups was statistically significant (P0.05) There was no significant difference in the incidence of complications (P> 0.05). Conclusion: The application of gelatin sponge during operation is effective and effective in the prevention of postoperative axillary lymph node metastasis of breast cancer. It is simple, safe, reliable and worthy of clinical promotion.