乳腺癌术后皮下积液的预防及治疗

The prevention and treatment of wound hydrops after radical and modified radical mastectomy for breast cancer

目的探讨乳腺癌术后皮下积液的预防方法。方法2004-06～2006-05住院手术的乳腺癌患者75例,采用半真空负压引流和保持一定的皮瓣张力、适度的加压包扎消灭皮瓣下残腔等方法来预防皮下积液。结果75例均1期愈合,发生皮下积液7例,发生率9．33%(7/75),皆通过穿刺、引流等方法治愈。结论半真空负压引流、保持一定的皮瓣张力和适度的加压包扎是预防皮下积液的有效方法。

Objective To investigate the method of prevention and treatment of wound hydrops after radical and modified radical mastectomy for breast cancer.Methods 75 inpatients cases were included in this study. The methods of half versus full vacuum suction drainage,maintenance certain skin petal tensity,moderate pressurizes wraps were used to prevent wound hydrops. Results The rate of wound hydrops was 9.33% （7/75）; through method of puncture and drainage the 7 cases were all cured. Conclusion Half versus full vacuum suction drainage,maintenance certain skin petal tensity,moderate pressurizes wraps are the effective methods to prevent wound hydrops.