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目的探讨乳腺癌术后采用双管引流加弹性包扎方法对其术后并发症防治的效果。方法选择2005年4月—2013年5月收治的46例乳腺癌患者作为观察对象,随机分为观察组与对照组,每组各23例,二组采用相同的手术方式,术后观察组采用双管引流加弹性包扎,对照组采用单管引流加局部加压包扎。观察二组患者术后皮下积液、皮瓣坏死等并发症的发生情况。结果观察组皮下积液的发生率为8.70%,对照组为26.09%,二组比较差异有统计学意义(P<0.05);观察组皮瓣坏死发生率为4.35%,对照组为26.09%,二组对比差异具有统计学意义(P<0.05)。结论乳腺癌术后采用双管引流加弹性包扎较单管引流加局部加压包扎临床效果更加显著,能够明显降低乳腺癌术后皮下积液和皮瓣坏死等并发症的发生率。
Objective To investigate the effect of double-tube drainage and elastic bandaging on the prevention and treatment of postoperative complications in patients with breast cancer. Methods Forty-six patients with breast cancer admitted from April 2005 to May 2013 were randomly divided into observation group and control group, with 23 cases in each group. The two groups were treated by the same operation method and the postoperative observation group was adopted Double-tube drainage plus elastic bandage, the control group with single-tube drainage plus local pressure bandaging. Two groups of patients were observed postoperative subcutaneous fluid, flap necrosis and other complications. Results The incidence of subcutaneous effusion was 8.70% in the observation group and 26.09% in the control group, with significant difference between the two groups (P <0.05). The incidence of flap necrosis was 4.35% in the observation group and 26.09% in the control group, The difference between the two groups was statistically significant (P <0.05). Conclusion The clinical effect of double-tube drainage combined with elastic bandaging after single-tube drainage plus local compression bandaging is more significant, which can significantly reduce the incidence of complications such as subcutaneous effusion and skin flap necrosis after breast cancer operation.