| 魏德强，赵丰，应晨辉.静脉留置针持续引流处理乳腺癌术后皮下积液的临床分析[J].实用中西医结合临床,2020,20(9):5-6,78 |
| 静脉留置针持续引流处理乳腺癌术后皮下积液的临床分析 |
| Clinical Analysis of Continuous Drainage with Intravenous Indwelling Needle in the Treatment of Subcutaneous Hydrops After Breast Cancer Operation |
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| DOI： |
| 中文关键词: 乳腺癌 皮下积液 静脉留置针 引流 |
| 英文关键词: Breast cancer Subcutaneous hydrops Intravenous indwelling needle Drainage |
| 基金项目:福建省自然科学基金项目（编号：2013J01351） |
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| 中文摘要: |
| 目的：探讨采用静脉留置针持续引流处理乳腺癌术后皮下积液的效果。方法：回顾性分析2018年1月~2019年12月收治的89例乳腺癌术后皮下积液患者的临床资料。根据处理方式不同将患者分为传统抽吸组35例和留置引流组54例。传统抽吸组每日用一次性50 ml注射器穿刺后抽吸积液，留置引流组用一次性静脉留置针穿刺后留置持续引流。比较两组引流（抽吸）天数、引流（抽吸）总量、穿刺次数、满意度和再选择意愿。结果：留置引流组引流（抽吸）天数、引流（抽吸）总量、穿刺次数均显著少于传统抽吸组，患者满意度和再选择意愿均显著高于传统抽吸组，差异均有统计学意义（P＜0.05）。两组皮下积液均经处理后逐渐愈合，均未发生感染、坏死等并发症。结论：采用静脉留置针持续引流处理乳腺癌术后皮下积液，不但可以减少有创操作次数，减轻患者痛苦，还能够缩短积液消退时间，提高患者接受度和满意度。 |
| 英文摘要: |
| Objective: Investigation on the effect of continuous drainage with intravenous indwelling needle in the treatment of subcutaneous hydrops after breast cancer operation. Method: The clinical data of 89 patients with subcutaneous hydrops after breast cancer operation admitted from January 2018 to December 2019 were retrospectively analyzed. According to the different treatment methods, the patients were divided into the traditional suction group (n=35) and the indwelling drainage group (n=54). 50 ml syringe was used daily for aspiration in the traditional suction group, and indwelling needle was used for puncture and indwelling for continuous drainage in the indwelling drainage group. The drainage (suction) days, the total amount of drainage (suction), the numbers of punctures, complication, outcome, satisfaction and the willingness of reselection were compared between the two groups. Result: The number of drainage days, total drainage volume and puncture times in the indwelling drainage group were significantly less than those in the traditional suction group, the satisfaction and reselection intention of patients in the indwelling drainage group were significantly higher than those in the traditional suction group, with statistical significance (P＜0.05). After treatment, the two groups recovered gradually, and no complications of infection and necrosis occurred. Conclusion: The numbers of invasive operations and the pain of patients were reduced, the time of hydrops fading was shorten, the acceptance and satisfaction of patients were improved in patients after breast cancer operation with intravenous indwelling needle by continuous drainage of subcutaneous effusion |
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