乳腺癌根治术预埋双管负压引流管预防术后皮瓣坏死积液的效果观察

Effect observation of preburial double-barrelled negative pressure drainage tube after radical mastectomy for the prevention of postoperative skin flap necrosis and effusion

目的探讨乳腺癌根治术预埋双管负压引流管预防术后皮瓣坏死积液的效果。方法选取2016年2月～2017年10月我院收治的96例乳腺癌根治术患者作为研究对象,按收治入院的时间先后将其分为观察组和对照组,每组各48例。观察组患者采用腋下、胸骨旁双管引流,对照组患者采用传统的腋下单管引流。比较两组患者术后皮下积液、皮瓣坏死和切口感染情况以及拔管时间和住院时间。结果观察组患者置管后的皮瓣坏死、积液、切口感染发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组患者的拔管时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05)。结论乳腺癌根治术预埋双管负压引流管预防术后皮瓣坏死积液的效果显著,是术后预后的关键因素之一,值得临床推广应用。

Objective To investigate the effect of preburial double-barrelled negative pressure drainage tube after radical mastectomy for the prevention of postoperative skin flap necrosis and effusion.Methods A total of 96 patients who underwent radical mastectomy in our hospital from February 2016 to October 2017 were selected as the research subjects.According to the time of admission,they were divided into the observation group and the control group,48 cases in each group.The patients in the observation group were treated with axillary and parastnal double tube drainage,while the control group was treated with conventional axillary single tube drainage.The postoperative subcutaneous fluid,flap necrosis and incision infection,the time of extubation and hospital stay were compared between the two groups.Results The incidence of flap necrosis,fluid accumulation and incision infection after intubation in the observation group were significantly lower than those in the control group,with significant difference(P<0.05).The extubation time and length of stay in the observation group were significantly shorter than those in the control group,with significant difference(P<0.05).Conclusion The effect of preburial double-barrelled negative pressure drainage tube in the prevention of postoperative skin flap necrosis is significant,and it is one of the key factors for postoperative prognosis.It is worth popularizing in clinical application.