双管引流接中心负压吸引在乳腺癌改良根治术后的临床应用

The clinical application of double joint center pressure suction tube drainage in breast cancer modified radical surgery

目的比较乳腺癌改良根治术后采用两种不同引流包扎方式的临床效果。方法 收集湘雅萍矿合作医院普外科2011年1月-2014年12月共120例女性乳腺癌患者,均行乳腺癌改良根治术,其中双管组60例患者术后采用双管引流接持续中心负压吸引,单管组60例患者术后采用传统的单管引流及加压包扎,对两组患者皮下积液和皮瓣坏死的发生率、置管时间和住院时间进行比较分析。结果 术后采用双管引流接持续中心负压吸引的双管组和采用单管引流及加压包扎的单管组皮下积液的发生率分别为3.3%（2/60）和13.3%（8/60）,皮瓣坏死的发生率分别为1.7%（1/60）和13.3%（8/60）,置管时间分别为（7.0±2.2）d和（12.0±2.0）d,住院天数分别为（12.0±4.5）d和（21.0±5.5）d,差异均有统计学意义（P〈0.05）。结论 乳腺癌改良根治术后采用双管引流接持续中心负压吸引能更明显降低患者皮下积液及皮瓣坏死的发生率,缩短置管时间及住院天数,有更好的临床效果,值得推广应用。

Objective To compare the clinical effect of two different drainage bandage ways after the modified radical masteetomy of the breast cancer.Methods A total of 120 female cases with breast cancer who received modified radical mastectomy from the General Surgery Department of Xiangya Pingkuang Cooperation Hospital from January 2011 to December 2014 were collected,including 60 cases of double tube group treated with double tube drainage and continue central negative pressure attraction,60 eases of single pipe group were treated with the traditional single tube drainage and compression bandage after breast cancer surgery,the hospitalization time,drainage time,the incidence rate of subcutaneous effusion and skin flap necrosis were compared and analyzed between two groups.Results The incidence of subcutaneous effusion treated with double tube drainage and continue central negative pressure attraction and single tube drainage and compression bandage was 3.3% （2/60） and 13.3% （8/60） respectively,the incidence rate of flap necrosis was 1.7% （1/60） and 13.3% （8/60） respectively,the drainage time was respectively （7.0±2.2） and （12.0±2.0） days respectively,the hospitalization time was （12.0±4.5） and （21.0±5.5） days respectively,the differences were statistically significant （P〈0.05）.Conclusion Using double tube drainage and continue central negative pressure attraction can reduce the incidence rate of subcutaneous effusion and flap necrosis,shorten the drainage time and the hospitalization time,which has a better clinical effect,and is worthy of wide popularization and application.