| 吴雪莲，胥润，李霞.不同引流及加压方式对乳腺癌患者术后恢复的影响[J].实用中西医结合临床,2020,20(6):8-10 |
| 不同引流及加压方式对乳腺癌患者术后恢复的影响 |
| The Effect of Different Drainage and Pressure Bandaging Methods on Postoperative Recovery of Breast Cancer Patients |
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| 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 Pressure bandaging |
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| 摘要点击次数: 699 |
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| 中文摘要: |
| 目的：探讨不同负压引流及加压包扎方式对乳腺癌患者术后恢复的影响。方法：选取2015年1月~2018年12月收治的95例行乳腺癌改良根治术乳腺癌患者为研究对象，根据负压引流及加压包扎方式不同将患者分为三组，A组28例，B组37例，C组30例。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，两组术后均加压包扎；C组置管方法同B组不加压包扎。比较三组术后24 h、48 h、72 h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24 h、48 h、72 h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并发症发生率比较无显著性差异（P＞0.05）；B组术后24 h、48 h、72 h引流量少于C组，带管时间短于C组，皮下积液发生率低于C组（P＜0.05）。结论：乳腺癌患者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，且不会增加切口感染、皮下积液及皮瓣坏死发生率。 |
| 英文摘要: |
| Objective: To explore the effect of different negative pressure drainage and pressure bandaging methods on postoperative recovery of breast cancer patients. Methods: From January 2015 to December 2018, 95 cases of breast cancer treated by modified radical mastectomy were selected as the study objects. According to the different methods of negative pressure drainage and pressure bandaging, the patients were divided into three groups, with 28 cases in group A, 37 cases in group B and 30 cases in group C. In group A, a negative pressure drainage tube was placed under the armpit, and in group B, a negative pressure drainage tube was placed under the armpit and beside the sternum, respectively, both groups were given pressure bandaging after operation;Group C was placed in the same way as group B, without pressure bandaging. Compared the volume of drainage 24 hours, 48 hours and 72 hours after operation, times with tube, occurrence of Infection of incision, subcutaneous effusion and necrosis of flap in three groups. Results: The drainage volume of group A was less than that of group B at 24 hours, 48 hours and 72 hours after operation, and the time with tube was shorter than that of group B (P＜0.05), there was no significant difference between the two groups (P＞0.05); The drainage volume of group B was less than that of group C at 24 hours, 48 hours and 72 hours after operation, and the time with tube was shorter than that of group C, the incidence of subcutaneous effusion was lower than that of group C (P＜0.05). Conclusion: Single tube negative pressure drainage combined with pressure bandaging can reduce the drainage volume of wound and the number of tubes, shorten the time with tubes, and will not increase the incidence of incision infection, subcutaneous hydrops and skin flap necrosis. |
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