不同引流处理方式对乳腺癌术后积液患者的治疗效果及预后分析

Therapeutic Effect and Prognosis of Patients with Postoperative Effusion of Breast Cancer Treated with Different Drainage Methods

目的通过对乳腺癌切除术后发生皮瓣积液伴感染患者进行不同引流方式治疗,探讨不同引流方式的临床疗效及患者预后。方法选取因乳腺癌切除术后发生皮瓣积液伴感染患者75例,依照随机分组原则,分为纱条填塞引流(A组)和引流管接负压瓶引流(B组)。术前术后,所有患者均采集静脉血5 ml,进行C-反应蛋白及白细胞含量测定。术中术后记录患者住院时间、换药频率、皮瓣贴合时间及抗生素使用情况。采用SPSS 19. 0软件对所得数据进行统计分析。结果 2组患者治愈率均达到100%。相比纱条填塞引流,引流管接负压瓶引流缩短了患者住院时间及皮瓣愈合时间,减少了患者换药频率及术中抗生素使用量,且差异存在统计学意义(P <0. 05)。此外,引流管接负压瓶引流患者术后C-反应蛋白及白细胞含量明显降低,且指标优于纱条填塞引流患者。引流管接负压瓶引流患者术后生活质量评分也明显优于纱条填塞引流患者(P <0. 05)。结论从患者经济支出获益比及患者预后考虑,引流管接负压瓶引流方式优于纱条填塞引流,可适当推广应用。

Objective To evaluate the clinical efficacy and prognosis of different drainage methods by treating patients with fluid effusion and infection after breast cancer resection by different drainage methods.Methods 75 patients with effusions of flaps and effusions after breast cancer resection were selected.In accordance with the principle of random grouping,gauze packing drainage(A group)and drainage tube connected to negative pressure bottle drainage(B group)were divided.All patients were collected venous blood 5 ml in preoperative and postoperative and C-reactive protein and white blood cell content were determined.Patients hospitalization,dressing frequency,flap fit time and the use of antibiotics were recorded in postoperative.The data were statistically analyzed by SPSS 19.0 software.Results The cure rate was 100%in both groups.Compared with the gauze packing drainage,the drainage tube connected with negative pressure bottle shorten the hospitalization time and flap healing time,and reduced the frequency of dressing change and intraoperative antibiotic use.The difference was statistically significant(P<0.05).In addition,drainage tube connected negative pressure bottle drainage in patients decreased significantly C-reactive protein and white blood cell content,and the index was superior to the gauze packing drainage patients.The postoperative quality of life score of patients who underwent drainage tube drainage was significantly better than that of gauze drainage(P<0.05).Conclusion From the perspective of patients economic benefit and patients'prognosis,drainage of negative pressure bottle by drainage tube is superior to that of gauze drainage and drainage,which can be appropriately applied.