摘要
目的评价负压引流在预防乳腺癌术后出血和积液中所起临床作用,进一步提高手术质量。方法本1356手术病例分为二组,1993年前病例(采用常规负压吸引和术中处理)定为A组,1994年后病例(采用持续低负压吸引和预防性措施)定为B,组两组各类手术与引流参数、出血和积液病例数进行回顾性比较分析。结果本病例术后出血有6例,出血发生中为0.4%;术后积液有114倒,积液发生率为8.4%。A组与B组在出血病例(5:1)、积液病例(85:29)和第1天引流量(224:176)上比较差异显著,在总引流量(352:319)和拔管天数(4.8:4.5)上无统计学差异。结论持续低负压吸引加预防性措施是预防乳腺癌术后出血、积液等并发症有效的方法。
Objective : This study evaluated clinical effect of negative pressure drainage on proventing hemorrhage and seroma formation, so as to improve the qulity of surgery. Methods , 1356 cases with operated breast cancer , most of which were radical mastectomy . were divided into two groups. The cases of G-A were treatedby conventional suction and surgical procedure before 1993. The cases of G-B were treated by continuous low negative pressure drainage and proventive procedure after 1994. The two groups were compared for operation modes , drainage parameters , complications of hemorrhage and seroma formation retrospectively. Results , The total. cases of hemorrhage were 6 ( 0. 4%) , G-A versus G-B =5 : 1 . The total cases of seroma formation were 114(8. 4% ) ,G-A versus G-B-85:29. There were significant difference in the drainage volume of the first post-operative day between G-A and G-B , but no difference in total drainage volume and day of drainage removal. conclusion , Continuous low negative pressure drainage and proventive procedure is the effective method to provent the complications of hemorrhage and seroma formation after operation of breast cancer .
关键词
乳腺癌
负压引流
预防
出血
积液
术后
Breast cancer Negative pressure drainage Proventive procedure Hemorrhage Seroma formation.