乳腺癌术后双管引流加弹性包扎246例疗效观察

Application of Two Tubular Drainage Set and Elastic Bandage after Operation for Breast Cancer

目的评价乳腺癌术后两部位双管引流加弹性包扎对降低术后皮下积液、皮瓣坏死的效果。方法将1998～2007年在我院行标准根治术或改良根治术的246例乳腺癌患者随机分成两组,对照组126例采用传统的腋下单管引流和普通绷带加压包扎,观察组120例采用腋下、胸骨旁双管引流及弹性绷带加压包扎。结果对照组中有25例(19.8%))发生皮下积液,13例(10.3%)发生皮瓣坏死;观察组中8例(6.7%)发生皮下积液,6例(5.0%)发生皮瓣坏死。两组比较差异有统计学意义。结论乳腺癌术后采用腋下、胸骨旁双管引流及弹性绷带加压包扎能降低术后并发症的发生率。

Objective To investigate a better management in order to reduce complications of hypodermic hydrops and skin flap necrosis after mastectomy of breast cancer.Methods Clinical data of 246 patients were analysed retrospectively from 1998 to 2007,who underwent radical or modified mastectomy.The patients were randomly divided into two groups.In control group,126 patients received one tubular drainage set in subaxillaris and bound with traditional bandage.In experimental group,120 patients received two tubular drainage set individually in parasternalis and subaxillaris and bound with elastic bandage.Results 25 cases occurred hypodermic hydrops and 13 cases occurred skin flap necrosis in the control group.On the contrary,only 8 cases occurred hypodermic hydrops and 6 cases occurred skin flap necrosis in the experimental group.There was significant statistical difference between the two groups（P0.05）.Conclusion The method of two tubular drainage set individually in parasternalis and subaxillaris combining bound with elastic bandage is of much effective and helpful for reducing the postoperative complications after mastectomy.