乳腺癌改良根治术后皮下积液的临床对照研究

Clinical Study of Subeutaneous Fluid Accumulation after Modified Radical Mastectomy for Breast Cancer

目的研究乳腺癌改良根治术后引流加包扎是否优于单纯的负压引流,及影响乳腺癌改良根治术后皮下积液的影响因素。方法选取100例乳腺癌患者,随机分为单纯负压引流组(实验组)及负压引流加包扎组(对照组),每组各50例。均作保留胸大小肌乳腺癌改良根治术(Auohincloss术式)。记录病人年龄、BMI、肿瘤大小、淋巴结转移情况、手术切口、引流情况及拔除引流管的时间及拔除引流管后出现积液的情况。引流管为腹腔硅胶引流管分别为腋窝26号,胸壁22号。结果两组患者的术后发生积液的差异无统计学意义(χ2=0.0884,P=0.7662>0.05)。但积液患者与无积液患者的BMI差异有明显统计学意义(P=0.009<0.01)。结论两种引流方法各有优缺点。对切口有张力患者可适当加压。

Objective To study the clinical effects of dressing and undressing wounds after breast cancer resection. Methods 100 patients receiving modified radical mas/ectomy were randomly divided into two equal groups： the experimental group and the control group. In the experimental group,the patients received two-tube drainage but no pressed dressings. In the control group,the patients received pressed dressings plus two-tube drainages. The rate of wound hydrops and the clinical effects were recorded and the data were statistieaRy compared. Results No signifcant diferences were found in terms of total drainage amount,time for tube withdrawal,and the rate of wound hydrops. But BMI was significantly different between the wound hydrops or not wound hydrops （P= 0.009 〈 0.01 ）. Conclusion Two ways in treating the wounds both have advantages and disadvantages. The pressed dressings lead to less wound hydrops only in high wound tension patients.