| 许言,许贵勤,胡少锋.多点缝合术治疗乳腺癌术后顽固性皮下积液17例体会[J].实用中西医结合临床,2019,19(1): |
| 多点缝合术治疗乳腺癌术后顽固性皮下积液17例体会 |
| Multi-point suture for the treatment of 17 cases of refractory subcutaneous effusion after breast cancer operation |
| 投稿时间：2018-07-21 修订日期：2018-09-06 |
| DOI： |
| 中文关键词: 多点缝合术 乳腺癌术后 皮下积液 |
| 英文关键词: Multi-point suture Breast cancer surgery subcutaneous effusion |
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| 中文摘要: |
| 【】 目的 多点缝合术在处理乳腺癌术后顽固性皮下积液中的疗效观察。方法2011年1月~2018年6月我科行乳腺癌改良根治术后顽固性皮下积液32例，按照随机数字表法分为对照组（n=15）和试验组（n=17）。实验组均采用多点缝合后引流加压包扎，对照组均采用切开引流换药治疗。结果 实验组17例患者中14例完全痊愈，2例残余少量积液多次抽液后痊愈，1例出现感染后皮瓣坏死予以清创后行植皮术后痊愈，平均愈合时间17天；对照组15例患者中5例完全痊愈，7例出现感染予以清创后痊愈，3例出现感染后皮瓣坏死予以植皮术后痊愈，平均愈合时间31天。结论 多点缝合术治疗乳腺癌术后顽固性皮下积液是一种操作简便，疗效可靠的方法。 |
| 英文摘要: |
| 【】 Objective Therapeutic effect of multi-point suture in the treatment of refractory subcutaneous effusion after breast cancer operation.Methods From January 2011 to June 2018, 32 cases of refractory subcutaneous effusion after modified radical mastectomy in our department were divided into control group (n=15) and experimental group (n=17) according to the random number table method. The experimental group was treated with multi-point suture and drainage and pressure dressing. The control group was treated with incision and drainage.RESULTS In the experimental group, 14 of the 17 patients were completely healed, 2 patients had a small amount of residual fluid and recovered after multiple fluid administrations. One patient developed post-infection skin flap necrosis after debridement and healed after skin grafting. The average healing time was 17 days. In the control group, 5 of the 15 patients were completely cured, 7 patients developed infection and recovered after debridement, and 3 patients developed skin flap necrosis after infection. The average healing time was 31 days. Conclusion Multi-point suture for the treatment of refractory subcutaneous effusion after breast cancer surgery is a simple and reliable method. |
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