乳腺癌改良根治术术后引流管拔管时间的选择

The Choice of the Extubation Time of Drainage Tube after Modified Radical Mastectomy

目的探讨乳腺癌改良根治术术后患者较为合适的拔管时间。方法采用分割χ2检验,回顾性分析744例乳腺癌改良根治术术后引流管的拔除时间与拔管后皮下或腋窝积液发生的情况。结果拔管时间为5~7天组拔管后皮下或腋窝积液发生率最低（10.18%）,且与合并组积液发生率差异有统计学意义（χ2=13.209,P〈0.001）,其余各组组间差异无统计学意义（P〉0.05）。结论乳腺癌改良根治术术后5~7天是最佳的拔管时间,可有效预防因引流管本身刺激而形成的积液。

Objective To explore the extubation time after modified radical mastectomy for breast cancer.Methods To analyze the data of 744 cases about the extubation time and the incidence rate of Subcutaneous or axillary fossa dropsy after modified radical mastectomy by Partitioning chi-square test.Results The least incidence rate of Subcutaneous or axillary fossa dropsy after extubation was 10.18% from the fifth day to the seventh day after operation,and the difference between this group and the incorporated group was statistically significant（χ2=13.209,P0.001）.And there was no statistically significant during the other groups.Conclusion The best time of extubation was from the fifth day to the seventh day after modified radical mastectomy,and it could decrease the incidence rate of Subcutaneous or axillary fossa dropsy by the irritation of drainage tube.