乳腺癌术后皮下积液的影响因素探讨

The impact of subcutaneous effusion after breast cancer surgery

目的预防乳腺癌术后皮下积液,探讨影响术后引流管放置时间的因素。方法 82例患者均经过术中彻底止血、术后双管引流、适量棉花填塞、胸外适度加压包扎等综合处理,对引流量较多者推迟拔管时间。结果经综合处理后全组患者无皮下积液发生。伤口引流管的放置时间与年龄(P>0.05)、腋窝手术操作方式(P>0.05)及保乳(P>0.05)无关,而与肥胖(P<0.05)、术前新辅助化疗(P<0.05)及术后负压引流瓶转换时间(P<0.05)有关。结论皮下积液的发生与肥胖、术前接受新辅助化疗及负压引流转换时间过早有关,术后采取积极主动的措施可以预防皮下积液的发生。

Objective To prevent the subcutaneous effusion collection after breast cancer and explore effec- tive factors of postoperative drainage tube placement time. Methods The total intraoperative bleeding, postop- erative dual-tube drainage, amount of cotton stuff, chest pressure dressing appropriately dealt with drainage were more de｜ayed extubation time. Results 82 patients without subcutaneous effusion occulted after the integrated treatment ; No significant difference between drainage tube placement time and age （ P 〉 0.05 ） , and also axilla- ry operative approach （ P 〉 0.05 ） and conserving （ P 〉 0.05 ）, while related with obesity （ P 〈 0.05 ）, preoperative neoadjuvant chemotherapy （ P 〈 0.05 ） and postoperative suction drainage bottle conversion time （ P 〈 0.05 ）. Conclusions Subcutaneous effusion can be prevented, and preventive measures shduld be taken, but subcutaneous effusion also with obesity, preoperative neoadjuvant chemotherapy and early vacuum drainage time of the conversion.