手术刀与电刀游离皮瓣防治乳腺癌术后皮下积液的临床对比分析

The clinical comparative analysis of preventing subcutaneous fluid using scalpel or electric knife to separate flap in breast cancer modified radical mastectomy

目的探讨手术刀与电刀游离皮瓣两种方法防治乳腺癌改良根治术后皮下积液的临床效果。方法 126例行乳腺癌改良根治术患者平分为治疗组和对照组,治疗组在皮下注射含肾上腺素盐水膨胀液后用手术刀游离皮瓣,对照组单用电刀游离皮瓣。结果治疗组发生皮下积液8例(12.7%),对照组发生皮下积液21例(33.3%)。治疗组和对照组比较,皮下积液发生率显著降低,两组比较差异有统计学意义(P<0.01)。结论皮下注射肾上腺素后手术刀游离皮瓣是防治乳腺癌改良根治术后皮下积液的有效措施,为预防皮下积液的发生,必须采取综合防治措施。

Objective To compare the different curative effects of preventing subcutaneous fluid after breast cancer modified radical mastectomy which used scalpel or electric knife to separate flap. Methods 126 patients treated with radical mastectomy were randomly assigned to two groups, treatment group and control group. The treatment group used the scalpel combinating with hypodermic injection of the adrenaline to separate flap while the control group used the electric knife to do it. Results There were 8 cases （12.7%） of subcutaneous effusion in the treatment group and 21 cases （33.3%） in the control group, there was obvious difference between the two groups （P 〈 0.01）. Conclusion The combination of scalpels with the hypodermic injection of the adrenaline is an effective methods to prevent subcuta- neous effusion after breast cancer modified radical masteetomy. To reduce the incidence of subcutaneous effusion, it is necessary to take comprehensive preventions and control measures.