摘要
目的:探讨乳腺癌根治术后局部多点加压缝合对减少皮下积液的作用。方法:收治乳腺癌患者60例,观察组28例采用多点加压缝合,辅以棉垫、胸带加压包扎;对照组32例采用单纯间断缝合,棉垫、胸带加压包扎。对比观察住院期间,胸壁、腋窝局部积液情况。结果:多点加压缝合的28例患者,皮下积液发生率10.71%;单纯切缘皮肤间断缝合的患者皮下积液发生率34.3%。经统计学表明两组皮下积液发生率差异有统计学意义(P<0.05)。结论:多点加压缝合可以预防乳腺癌改良根治术后皮下积液的发生。
Objective:To explore the effect of part multi-point compression suture after modified radical mastectomy to reduce subcutaneous hydrops.Methods:60 patients with breast cancer were selected.28 cases were treated with multi-point compression suture with cotton pad and thoracic compression bandage.The control group were treated with simple interrupted suture with cotton pad and thoracic compression bandage.The chest wall and axillary local effusion during hospitalization were observed and compared.Results:In the 28 cases of multi-point compression suture,the incidence rate of subcutaneous hydrops was 10.71%.In the patients with simple interrupted suture,the incidence rate of subcutaneous hydrops was 34.3%.The incidence rate of subcutaneous hydrops intwo groups had significant difference(P<0.05).Conclusion:Multi-point compression suture can prevent subcutaneous hydrops after modified radical mastectomy.
