论文部分内容阅读
目的:观察乳腺微创术后留置针持续负压吸引残腔与血府逐瘀颗粒口服联用治疗淤肿的疗效,优化临床治疗效果。方法:70例行乳腺微创手术患者,按术后处理方式不同分为对照组33例和观察组37例,对照组单纯进行乳腺微创术,术后常规引流处理;观察组行乳腺微创术,术后进行留置针持续负压吸引残腔处理,并口服血府逐瘀颗粒;采用B超测量血肿最大径,记录引流置管时间及住院时间。结果:疗效比较,观察组总有效率为93.55%,优于对照组的79.17%,差异具有统计学意义(P<0.05)。对照组和观察组平均血肿最大径分别为(5.37±2.15)mm和(1.31±1.08)mm,对照组明显大于观察组,差异具有统计学意义,t=5.825,P<0.01;对照组和观察组平均置管时间为(7.66±6.55)d和(4.84±1.16)d,两组差异具有统计学意义,t=8.775,P<0.05;对照组和观察组平均住院时间分别为(20.82±8.62)d和(11.65±6.33)d,对照组明显长于观察组,差异具有统计学意义,t=7.173,P<0.01。结论:乳腺微创术后留置针持续负压吸引残腔与血府逐瘀颗粒口服联用能够显著减少术后血肿的形成,缩短住院时间与置管时间,操作简便,费用低廉,值得临床推广。
OBJECTIVE: To observe the efficacy of continuous negative pressure suction residual cavity and Xuefu Zhuyu granules oral combined with treatment of bruise in minimally invasive breast surgery to optimize the clinical effect. Methods: Seventy-seven patients undergoing minimally invasive breast surgery were divided into control group (n = 33) and observation group (n = 37) according to the way of postoperative management. The control group was treated with minimally invasive breast surgery and conventional drainage treatment. After operation, the indwelling needles were kept under negative pressure to attract the residual cavity and treated with Xuefu Zhuyu granules orally. The maximal diameter of the hematoma was measured by B-ultrasound, and the time of catheterization and hospital stay was recorded. Results: Compared with the control group, the total effective rate in the observation group was 93.55%, which was better than 79.17% in the control group (P <0.05). The mean hematoma diameter of the control group and the observation group were (5.37 ± 2.15) mm and (1.31 ± 1.08) mm, respectively, which were significantly higher in the control group than in the observation group, t = 5.825, P <0.01; The mean duration of catheterization was (7.66 ± 6.55) days and (4.84 ± 1.16) days in the two groups, with significant difference between the two groups (t = 8.775, P <0.05). The mean length of stay in the control and observation groups was (20.82 ± 8.62 ) d and (11.65 ± 6.33) d respectively, the control group was significantly longer than the observation group, the difference was statistically significant, t = 7.173, P <0.01. CONCLUSION: Oral administration of residual fume suction with continuous negative pressure after breast minimally invasive surgery can effectively reduce the postoperative hematoma formation, shorten the hospitalization time and catheterization time, and is simple, inexpensive and worthy of clinical promotion .