| 吴雪莲.不同引流及加压方式对乳腺癌术后的影响[J].实用中西医结合临床,2020,20(6): |
| 不同引流及加压方式对乳腺癌术后的影响 |
| The effect of different drainage and compression after breast cancer operation |
| 投稿时间：2019-11-19 修订日期：2019-12-06 |
| DOI： |
| 中文关键词: 乳腺癌 负压引流 加压包扎 |
| 英文关键词: Breast cancer Negative pressure drainage Compression bandage |
| 基金项目: |
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| 中文摘要: |
| [摘要] 目的：探讨不同负压引流及加压包扎方式在乳腺癌术后的效果。方法：将95例在我科实行乳腺癌改良根治术的患者分为三组。A组：腋下置一根负压引流管，B组：腋下和胸骨旁分别置一根负压引流管，A组与B组术后均加压包扎，C组：置管方法同B组不加压包扎，比较三组术后24h、48h、72h的总引流量；带管时间；切口感染、皮下积液及皮瓣坏死发生情况。结果：A组术后总引流量少于B组，带管时间短于B组（P<0.05）；两组皮下积液及皮瓣坏死发生无差异（P>0.05）。B组术后总引流量少于C组，带管时间短于C组，皮下积液发生低于C组（P<0.05）。结论：乳腺癌术后单管负压引流联合加压包扎能减少创面引流量，减少带管数目，缩短带管时间，但不增加切口感染、皮下积液及皮瓣坏死发生，可用于临床推广。 |
| 英文摘要: |
| [Abstract]Objective:To explore the effectiveness of different negative pressure drainage and compression bandage after breast cancer operation. Methods: 95 cases of breast cancer patients were divided into 3 groups. Group A:Patients with single negative pressure drainage under the axilla. Group B:Patients with double negative pressure drainage respectively under the axilla and beside the sternum. Group A and Group B both with compression bandage after operation. Group C:The way of double negative pressure drainage was the same as Group B without compression bandage. Comparing the total drainage flow of 24h、48h、72h; tube-carrying time; the occurrence of incision infection, subcutaneous effusion and flap necrosis between the 3 groups. Results: The total drainage flow of group A is lower than that of group B, the tube-carrying time of group A is shorter than group B（P<0.05）; the occurrence of subcutaneous effusion and flap necrosis has no difference between group A and group B（P>0.05）. The total drainage flow of group B is lower than that of group C, the tube-carrying time of group B is shorter than group C, and the occurrence of subcutaneous effusion in group B is lower than group C（P<0.05). Conclusion: Single negative pressure drainage and compression bandage after breast cancer operation can decrease the amount of drainage, reduce the number of tubes, shorten the tube-carrying time, but do not increase the occurrence of incision infection, subcutaneous effusion and flap necrosis, then the way can be used in clinical. |
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