乳腺癌术后不同引流方法效果比较

Comparison of the efficacy of different drainages after radical mastectomy

目的:探讨乳腺癌根治术后创面采用不同引流方法的临床效果。方法:将119例乳腺癌根治术患者随机分为观察组和对照组,观察组67例应用简易负压引流瓶进行腋窝、胸骨旁双负压引流,不用加压包扎;对照组52例采用传统的皮瓣加压包扎加腋窝负压引流,对两组术后负压引流的引流量及皮瓣下积液、皮瓣坏死发生率进行对比分析。结果:观察组术后前3d引流量明显高于对照组,两组比较有显著性差异(P<0.01);观察组皮瓣坏死、皮瓣下积液发生率明显低于对照组,两组比较有显著性差异(P<0.01)。结论:对乳腺癌术后患者采用简易负压引流瓶双管引流法,比加压包扎单管引流法引流更充分,可明显降低皮瓣并发症发生率,值得临床推广应用。

Objective： To explore the clinical efficacy of different drainages after radical mastectomy. Methods： One hundred and nineteen patients with radical mastectomy were divided into observation group （ n = 67 ） and control group （ n = 52 ） at random. Simple negative pressure drainage was applied for the patients in armpit and sternum, without any pressure binding up, in observation group. Conventional skin flap pressure binding combined with negative pressure drainage in armpit was used in control group, the comparison was made in amount of drainage, skin flap dropsy and incidence of necrosis of skin flap. Results ： The amount of drainage the first 3 days after operation was more in observation group than that in control group, significant difference was found （P 〈 0. 01 ） ; the incidence of necrosis of skin flap and skin flap dropsy were evidently lower in observation group than that in control group, significant difference was also found in the comparison （ P 〈 0. 01 ）. Conclusion ： Simple negative pressure drainage bottle with two tubes can drain more sufficient than pressure binding combined with single drainage does, which can reduce the incidence of skin flap complication.