持续高负压双管引流在乳腺癌改良根治术后应用临床观察.docVIP

持续高负压双管引流在乳腺癌改良根治术后应用临床观察 　　[摘要] 目的 评价持续高负压双管引流在乳腺癌改良根治术后应用的临床效果。 方法 选择2012年1～12月间于中山市人民医院乳腺外科接受乳腺癌改良根治术的240例女性患者为研究对象，随机分为持续高负压双管引流组（观察组）和传统加压包扎组（对照组），每组各120例，均接受单侧改良根治术，观察组采用真空高负压引流瓶作为引流仪器，全过程不再采取加压包扎；对照组采用一般的负压引流器作为引流仪器，全过程需要加压包扎，观察、记录并比较两组病人手术过后的皮下积液及皮瓣坏死的发生率、伤口引流量及术后拔管时间。 结果 观察组术后皮下积液发生率（10.8%）、皮瓣缺血坏死率（2.5%）、伤口引流量（474 mL）及拔管时间（4.5 d）明显优于对照组（17.5%、7.5%、638 mL、6.5 d），差异均具有统计学意义（P 　　[关键词] 改良根治术；持续高负压双管引流；术后并发症 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1673-7210（2013）11（c）-0045-03 　　Clinical observation of the application of sustained high-vacuum double suction drainage in the after-treatment of modified radical mastectomy 　　LING Feihai1 CHEN Shifeng1 MA Shihui1 ZHANG Jiangyu2 　　1.Department of Breast Surgery， Zhongshan Peoples Hospital， Guangdong Province， Zhongshan 528403， China； 2.Department of Pathology， Guangdong Provincial Maternity and Child Care Center， Guangdong Province， Guangzhou 510010， China 　　[Abstract] Objective To evaluate the clinical effect of sustained high-vacuum double suction drainage in the treatment after modified radical mastectomy. Methods 240 female patients with modified radical mastectomy from January to December 2012 in the Zhongshan Peoples Hospital were randomly divided into the observation group （treated by sustained high-vacuum double suction drainage） and the control group （treated by traditional therapy）， with 120 patients in each group. All patients were given the unilateral modified radical mastectomy， the observation group was drained by high vacuum negative pressure drainage bottle， with no pressure dressing in whole process and the control group was drained by general negative pressure drainage device， pressure dressing in whole process. The incidence of subcutaneous hydrops and flap necrosis ， total amount of drained fluid， and postoperative extubation time were recorded and compared between the two groups. Results The incidence of subcutaneous hydrops of the observation group（10.8%）， the incidence rate of flap necrosis（2.5