双管持续中心负压引流在乳腺癌根治术中的应用观察

Dual-tube continuous negative pressure drainage in radical mastectomy

目的:观察双管持续中心负压引流在乳腺癌根治术中的应用效果。方法:对43例乳腺癌患者行乳腺癌根治术并双管持续中心负压引流,观察术后皮下积液及皮瓣坏死的情况。结果:术后35例切口一期愈合;并发皮下积液5例,其中位于腋窝处3例,胸骨旁2例;皮瓣坏死3例,主要集中在切口中段边缘,其中皮下积液合并皮瓣坏死2例。结论:乳腺癌根治术后应用双管持续中心负压引流,可减少皮下积液和皮瓣坏死的发生。

Objective：To observe the effect of dual-tube continuous negative pressure drainage on patients receiving radical mastectomy.Methods：Forty-three patients with breast cancer underwent radical mastectomy,and the dual-tube continuous negative pressure drainage was applied.Subcutaneous fluid collection and skin flap necrosis were observed after the operation.Results： Primary healing was reached in 35 cases;subcutaneous fluid collection was detected in 5 cases,3 of which were in the axilla and 2 in the parasternal;skin flap necrosis occurred in 3 cases,which was mainly in the middle edge of the incision;2 cases suffered from both fluid collection and skin flap necrosis.Conclusions：After radical mastectomy,dual-tube continuous negative pressure drainage can reduce the subcutaneous fluid collection and skin flap necrosis.