自制弹力胸带在乳腺癌根治术后的应用

Clinical Application of Manual Elastic Thoracic Strap for Radical Mastectomy

目的 探讨自制弹力胸带预防乳腺癌根治术后皮瓣下积血积液的效果。 方法 将行乳腺癌根治术的Ⅰ期和Ⅱ期女性乳腺癌 10 2例 ,随机分为三组 :观察组 42例 ,术后采用自制弹力胸带加腋下置管负压吸引引流 ;对照 1组 3 0例 ,采用普通胸带加腋下置管负压吸引 ;对照 2组 3 0例 ,采用林沛清[1]“三点四管”引流加双层普通胸带包扎法。 结果 观察组皮瓣下积血积液 4.8% ,显著低于对照 1组 3 6.7% (P <0 .0 1) ;观察组术后平均住院日为 (8.7± 0 .4)d ,明显短于对照 1组 (11.3± 3 .7)d (P <0 .0 1)。 结论 弹力胸带加腋下置管负压吸引引流能有效防止乳腺癌根治术后皮瓣下积血积液 ,具有制作容易 ,使用简便 ,效果确切 ,创伤小 。

Objective To explore the effect of manual elastic thoracic strap to prevent the formation of hematocele or dropsy after radical mastectomy. Metheds 102 cases of female patients with breast carcinoma at stage Ⅰ and stage Ⅱ were divided into 3 groups by random. 42 cases were in the observed group treated with manual elastic thoracic strap and subaxillary drainage;30 cases in the control group Ⅰ treated with general thoracic strap and subaxillary drainage. 30 cases in the control group Ⅱ treated with “three points and four tubes” drainage method desined by Lin Peiqing [1] . Results In observed group, 4.8% patients had hematocele and dropsy under flaps, and was significantly less than 36.7% of control group Ⅰ ( P <0.01). Observed group had 8.7±0.4 average in patient days after operation, and was less than 11.3±3.7 days of control groupⅠ ( P <0.01). Conclusion The application of manual elastic thoracic strap with subaxillary drainage could effectively prevent the formation of hematocele or dropsy, and is suitable for promotion.