乳腺癌改良根治术后引流包扎方式的改进

An observation on different management for the wound drainage and wrapping in modified radical mastectomy

目的探讨乳腺癌改良根治术后创面采用不同引流包扎方式的效果分析。方法对66例女性乳腺癌患者行改良根治术后采取“双管引流+持续负压吸引”,与同期乳腺癌改良根治术后采取传统的“单管引流+加压包扎”,进行皮下积液及皮瓣坏死分析比较。结果乳腺癌改良根治术后“双管引流+持续负压吸引”组和“单管引流+加压包扎”组皮下积液的发生率分别为9.1%、70.6%,皮瓣坏死的发生率分别为1.5%和14.7%,差异有显著性(P<0.05)。结论“双管引流+持续负压吸引”能明显减少皮下积液和皮瓣坏死的发生率,较“单管引流+加压包扎”有更明显的优越性。

Objective To analize the outcome of different later management in the modified radical mastectomy. Methods Comparation was made between the 66 cases of mastectomy,who were given “the double drainage with contineous negtive sucktion” ,and those who were given the traditional “the single drainage with compressive wrapping”. The wound progressing including subcaveous exude and flap necrosis was observed. Results Significant difference （ P 〈 0.05 ） was found between the modified management for the mastectomy wound and the traditional method both in the incidence of subcutaneous exude （9. 1% vs 70.6%） and flap necrosis （1.5% vs14.7% ）. Conclusion The double drainage with negtive sucktion could lessen the wound complication and so accelarated the healing.