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目的探讨高负压引流技术在乳腺癌根治术中的应用价值。方法选取2011年5月至12月肇庆市第一人民医院拟行乳腺癌改良根治术的乳腺癌患者100例,随机抽取50例采用高负压引流系统引流,称为高负压引流组,另50例采用传统低负压引流球引流,称为低负压引流组。将两组间的拔管时间、住院时间、引流量、皮瓣坏死率、皮下积液及术后恢复期的生活质量等指标进行对比分析。结果两组在拔管时间、住院时间、引流量、皮瓣坏死及皮下积液等方面比较差异无统计学意义,术后恢复期的生活质量高负压引流组有明显改善。结论引流方式不能减少乳腺癌改良根治术患者术后并发症;高负压引流可显著改善乳腺癌根治术患者术后恢复期的生活质量,也能减少医生的工作量,具有临床推广价值。
Objective To explore the value of high negative pressure drainage in radical mastectomy of breast cancer. Methods From May to December 2011, 100 cases of breast cancer who underwent modified radical mastectomy in the First People’s Hospital of Zhaoqing City were enrolled. Fifty cases of patients with high-negative-pressure drainage system were selected randomly, 50 patients with traditional low-pressure drainage ball drainage, known as low-pressure drainage group. The extubation time, hospitalization time, drainage volume, skin flap necrosis rate, subcutaneous effusion and quality of life after convalescence were compared between the two groups. Results There was no significant difference in extubation time, hospitalization time, drainage volume, skin flap necrosis and subcutaneous effusion between the two groups. The quality of life in the postoperative recovery period with high negative pressure drainage group was significantly improved. Conclusion Drainage can not reduce postoperative complications in patients with modified radical mastectomy. High negative pressure drainage can significantly improve the quality of life in postoperative recovery of patients with radical mastectomy, and can reduce the workload of doctors, which has clinical value of popularization.