负压引流在乳腺癌术后的临床应用(附1356例分析)

Clinical Application of Negative Pressure Drainage after the Operation of Breast Cancer. (Analyses of the 1356 cases)

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 .