乳腺癌手术皮内缝合加REDON负压引流瓶的应用

Continous Subcutanceous Sewing and REDON Absorbing Bottle Drainage in Modified Radical Mastectomy for Breast Cancer

[目的]评价皮内缝合加REDON引流瓶在乳腺癌改良根治术中的应用效果。[方法]对1999年1月至12月123例乳腺癌改良根治术后传统缝合加负压球引流和2002年1月至12月乳腺癌改良根治术后应用DEXON连续缝合加REDON负压引流瓶引流128例病例进行回顾性分析。[结果]128例DEXON连续缝合加REDON引流瓶引流皮下积液16例(16/128,12.5%),皮肤坏死1例(1/128,0.78%),明显优越传统缝合加负压球引流,皮下积液47例(47/123,38%),皮肤坏死16例(16/123,13%)。[结论]我们认为乳腺癌改良根治术后DEXON连续缝合加REDON负压引流瓶对乳腺癌改良根治术后创面引流更为充分,能明显降低术后并发症的发生。

To evaluate the effect of continous subcutanceous sewing(CSS)and REDON absorbing bottle(RAB)drainage in the treatment of breast cancer.The clinical data of123patients treated with drainage by trational negative pressure absorbing ball(TNPAB)from January to December in1999,and the clinical data of128patients treated by DEXON CSS and RAB from January to December in2002were analyzed retrospectively.There were16cases(12.5%)with complication of subcutanceous liquid collection,1case with skin flay necrosis among128cases treated by DEXON CSS and RAB;47cases(38%)with complication of subcutanceous liquid collection,16cases(13%)with skin flap necrosis among123cases treated by TNPAB.The statistically significant difference was found between the two groups.(P<0.01).[Conclusions]It is demonstrated that the use of DEXON CSS and RAB get more completely drainage than TNPAB does,and in the meantime the complication rate will decrease.