摘要
目的探讨乳腺癌改良根治术手术技巧对皮下积液的预防。方法回顾性分析行乳腺癌改良根治术(Auchincloss术式)的乳腺癌患者418例,术中依据乳腺淋巴回流行淋巴管结扎,同时腋窝侧只留置一条皮下引流管行负压吸引,术后无需任何形式加压包扎。结果418例中仅12例出现术后皮下积液>10天,发生率约为2.9%,所有积液患者在术后两周内<14天拔除引流管。结论乳腺癌改良根治术术中依据乳腺淋巴回流行淋巴管结扎,是1种有效的预防皮下积液的手术方法,术后无需任何形式加压包扎且皮下只需留置腋窝侧一条负压吸引管。
Objective To discuss the clinical effect of prevention of subcutaneous hydrops by the skill of modified radical mastectomy of breast cancer. Methods Retrospectively analysis 418 patients who accepted modified radical mastectomy with ligating the lymphatic vessels in terms of lymphatic circumfluence and placing one vacuum - suction drainage - tube during operation without any kinds of compression bandage. Results Only 12 patients developped subcutaneous hydrops, and the incidence rate was 2.9%. Conclusion Ligating the lymphatic vessels and placing one vacuum - suction drainage - tube during operation is a effective surgical skill in
出处
《实用癌症杂志》
2009年第4期370-371,共2页
The Practical Journal of Cancer
关键词
乳腺肿瘤
根治术
皮下积液
预防
Breast neoplasm
Masteetomy radical
Emphysema
Prevention
