乳癌根治术后的非加压双管负压引流法临床应用研究

Double-tube and Vacuum Drainage After Radical Mastectomy for Breast Cancer

目的探讨更为有效和经济的乳癌手术后皮瓣下引流方法,促进术后创面愈合。方法2000年2月-2007年2月间共收治乳腺癌患者96例,分别行乳癌改良根治术、根治术和扩大根治术,术后随机分为传统加压包扎单管引流组和非加压包扎双管负压引流组,每组各48例,然后就引流液量、皮下积液发生率及切口延迟愈合发生率等临床愈合指标和术后平均住院日以及平均总住院费用进行对比研究。结果双管组术后前3d引流量显著大于单管组(P<0.01),皮下积液发生率明显低于单管组(P<0.05),切口延迟愈合发生率低于单管组(P<0.01);同时,双管组术后住院日明显少于单管组(P<0.05),而总住院费用相比无明显差异。结论在乳腺癌根治术后,双管负压引流方法可靠,引流更为充分,其并发症发生率低,并能缩短术后住院时间,有利于患者早日康复,值得推广应用。

Objective To investigate the effectiveness of double - tube vacuum drainage in reducing complications after radical breast cancer operation. Methods The clinical data of 96 patients treated with radical mastectomy from February, 2000 to February, 2007 were retrospectively analyzed. They were randomly divided into non - pressured dressing and double - tube vacuum drainage （NPDVD） group （n=48） and pressured dressing and single- tube vacuum drainage （PSVD） group （n = 48）. Results The volume of drainage during the first 3 days after operation between NPDVD group （334.7 ± 140.4） ml and PSVD group （145,6±132.9） ml showed significant difference （P〈 0.01 ）. The occurrence of subcutaneous hydrops was 8.3% in NPDVD group, but 31.3% in PSVD group （P〈0.05）. The days of hospital stay-of NPDVD group was significantly shorter than that of PSVD group （P〈 0.01）. Conclusions The results suggest that using NPDVD could improve the postoperative drainage, reduce the postoperative complications, thus promoting the wound healing after radical mastectomy.