乳房癌改良根治术后皮瓣处理疗效的分析

Analysis of effect of treatment for skin flap in breast modified radical mastectomy

目的:分析乳房癌改良根治术术后皮瓣不同处理的疗效。方法:将63例乳房癌改良根治术患者随机分为治疗组(32例)和对照组(31例),治疗组患者术后皮瓣予以弹力绷带加压包扎,一次性负压器双管吸引,对照组患者术后皮瓣予以普通绑带加压包扎,一次性负压器双管吸引。比较两组患者的引流情况以及负压器的拔管时间。结果:治疗组的负压器引流量较对照组的明显减少,拔管时间提前,均差异有统计学意义(均P<0.05)。结论:乳房癌改良根治术后皮瓣合理的加压包扎可以明显提前伤口愈合时间。

Objective：To analyse the effects of treatment for skin flap in different way in breast modified radical mastectomy. Method：Between May 2006 and September 2010,63 cases with breast modified radical mastectomy were randomly divided into experimental group（32 cases） and control group（31 cases） . Flaps of 32 patients in the experimental group were treated with elastic pressure babdage and double-tube vacuum drainage. 31 patients in the control group were treated with local compressed babdage and double-tube vacuum drainage. The flux of drainage and the times of tube-drawing of the two groups were compared. Result：The flux of drainage in experimental group obviously reduced than that in control group（P0.05） . The time of tube-drawing in experimental group obviously reduced than that in control group（P0.05） . Conclusion：The method of rational elastic pressure babdage wrapping is effective to heal the wound after breast modified radical mastectomy.