Blake引流管在乳房全切术术后积液引流效果的临床研究

Clinical research of Blake drainage-tube after mastectomy

目的探讨乳房全切术术后术区使用Blake引流管的引流效果。方法将80例确诊为早期乳腺癌并行乳房单纯切除术的患者随机分为两组。观察组40例,使用Blake引流管对手术区积液进行引流;对照组40例,放置普通硅胶引流管进行引流,比较两组不同的引流管每日对术区积液的引流量、引流管拔除时间、拔管后再次发生皮下积液的概率。结果术后第1天,两组引流管的引流量差异无统计学意义(P>0.05),术后第2天开始,观察组比对照组更有效地引流术后的积液(P<0.05)。观察组残腔引流管留置的时间明显短于对照组(t=3.852,P<0.01),两组均未出现如大出血、淋巴水肿、皮瓣大面积坏死等严重并发症。观察组拔管后发生皮瓣下积液者2例,对照组为10例,两组差异有统计学意义(χ2=6.275,P<0.05)。结论乳房单纯切除术术后使用Blake引流管,可以更加有效地引流积液,缩短拔管时间,有效降低皮下再积液的可能性。

Objective To evaluate the value of Blake drainage-tube after mastectomy. Methods Eighty patients who undertaken mastectomy for breast cancer were randomized into two groups, study group （40 patients） and control group （40 patients）. The patients in the study group received Blake drainage-tube to drain while silicone drainage-tube was used in control group. All the patients were accepted the negative pressure drainage post operation. The daily draining volume of wound, removal time of drainage-tube and the recurrence rate after took off the tube were recorded. Results No meaningful difference in the aspect of drainage volume （P〉0.05） on the first day after the operation. While there was more effusion drain in study group than that of control group since the second day after surgery （P〈0.05）. The indwelling time of drainage-tube in study group was much less than that of control group （t=-3.852, P〈0.01）. Two groups did not have serious complications. After removal of the drainage-tube, 2 cases of effusion were found in study group verse 10 cases in control group （X^2=6.275, P〈0.05）. Conclusion It＇s very effective and safe to use the Blake drainage-tube after mastectomy in breast carcinoma.