应用新型胸带预防乳腺癌术后皮瓣坏死的探讨

Application of new type thoracic strap to prevent skin flap necrosis after breast cancer surgery

目的:探讨新型胸带(专利名称:一种用于乳腺癌根治手术后的胸带;专利号:ZL201020276986.2)对于乳腺癌术后皮瓣坏死的预防作用。方法:采用回顾性分析,选取行乳腺癌根治术的女性患者163例,随机分成两组,其中93例作为实验组,术后使用新型胸带加压包扎切口;70例作为对照组,术后使用多头胸带加压包扎切口。对比皮瓣坏死率及坏死程度。结果:实验组皮瓣坏死率明显低于对照组,差异有统计学意义(P<0.05)。实验组中、重度皮瓣坏死率明显低于对照组,差异有统计学意义(P<0.05)。结论:新型胸带可有效降低乳腺癌术后皮瓣坏死率,减轻其坏死程度,值得临床推广。

Objective：To explore the preventive effects of new type thoracic strap （Patent name：a thoracic strap for breast cancer after breast band;Patent number：ZL201020276986.2） on skin flap necrosis after breast cancer surgery. Methods ：The degree of skin flap necrosis was retrospectively analyzed in 163 female patients with breast cancer surgery. These 163 female patients were divided into two groups by random：93 cases in the observed group treated with new type thoracic strap and compression bandage,70 cases in the control group treated with multi -head chest strap and compression bandage. Results：The degree of skin flap necrosis was obviously lower in the observed group than that in the control group. The difference had statistical significance （ P 〈 0.05 ）. The incidence rate of skin flap necrosis in different degree of comparison, the experimental group patients, severe necrosis rate of skin flap were sig- nificantly lower than the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion ： The new type thoracic strap was effective in reducing the rate of skin flap necrosis, reducing the degree of necrosis, and was worthy of clinical spread application.