双管持续中心负压引流能有效防止乳腺癌改良根治术后皮下积液

Dual-tube continuous central negative pressure drainage effectively preventing subcutaneous effusion after modified radical mastectomy for breast cancer

目的:探讨传统负压引流和双管持续中心负压引流治疗乳腺癌改良根治术后皮下积液的效果。方法:98例拟行改良根治术治疗的乳腺癌患者,随机分为干预组和对照组。干预组49例,采用双管持续中心负压引流治疗;对照组49例,采用传统单管负压引流。比较两组患者72 h引流量、置管时间、住院时间及切口感染、皮下积液、缺血坏死发生率等指标。结果:干预组72 h的引流量高于对照组,留置管时间、住院时间低于对照组,差异有统计学意义(P<0.05)。干预组切口感染、皮下积液发生率低于对照组,差异有统计学意义(P<0.05)。结论:双管持续中心负压引流治疗乳腺癌改良根治术后皮下积液的效果更好,并发症更低。

Objective:To explore the therapeutic effect of traditional negative pressure drainage and double-tube continuous central negative pressure drainage on subcutaneous effusion after modified radical mastectomy for breast cancer.Methods:98 patients with breast cancer who were going to undergo modified radical mastectomy were randomly divided into intervention group and control group.49 cases in the intervention group were treated with double-tube continuous central negative pressure drainage,while 49 cases in the control group were treated with traditional single-tube negative pressure drainage.The indexes of 72 h drainage,indwelling time,hospitalization time,incision infection,subcutaneous effusion and incidence of ischemic necrosis were compared between the two groups.Results:The drainage volume of 72 h in the intervention group was higher than that in the control group,and the indwelling time and hospitalization time of the intervention group were lower than those in the control group(P<0.05).Incidence of incision infection and subcutaneous effusion in intervention group was lower than that in control group(P<0.05).Conclusion:Dual-tube continuous central negative pressure drainage is more effective and less complications in the treatment of subcutaneous effusion after modified radical mastectomy for breast cancer.