泰绫联合皮瓣多点缝合防治乳腺癌术后并发症的临床研究

Clinical research on hemostasis material and several points suture in decreasing the complications of modified radical mastectomy

目的探讨在乳腺癌改良根治术中采用可吸收止血纱布(泰绫),同时行腋窝及胸壁与皮瓣多点缝合,对术后引流量、皮下积液发生率、拔管时间的影响。方法将196例行乳腺癌改良根治术的患者随机分为试验组和3个对照组,试验组术中放置泰绫,并进行腋窝、胸壁与皮瓣多点缝合,对照组分别为:放置泰绫、传统缝合(对照组1),未放置泰绫、多点缝合(对照组2),未放置泰绫、传统缝合(对照组3)。分别对比观察试验组与对照组每天的引流量、皮下积液发生率、拔管时间指标。结果试验组与对照组分别进行统计,其术后引流量、皮下积液发生率、拔管时间的差异有统计学意义(P<0.05)。结论乳腺癌改良根治术中采用泰绫联合皮瓣多点缝合可明显减少术后引流量、皮下积液发生率及缩短拔管时间。

Objective To find out the clinical effects of postoperative drainage volume, the incidence of subcutaneous liquid accumulation, and time of removing drainage tube by using he- mostasis material and suturing skin flap with axillary fossa and chest wall（several points suture） during modified radical mastectomy. Methods The patients were randomly separated into an ex- perimental group and three control groups. In the former group the patients were treated by both hemostasis material and several points suture, while control groups were treated by hemostasis material, several points suture, and the traditional way separately. Results There were signifi- cantly differences in the postoperative drainage volume, the incidence of subcutaneous liquid accu- mulation, and time of removing drainage tube between experimental group and control groups（P 〈0.05）. Conclusion The use of hemostasis material and several points suture in modified radical mastectomy can reduce the mount of drainage liquid each day and the incidence of subcutaneous liquid accumulation, besides, it can shorten time of removing drainage tube.