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目的比较几种常见的乳腺癌术后引流方式的疗效进而选择出一种最佳的引流方式。方法对我院2004年6月-2007年2月的183例乳腺癌仿根治术患者引流方式进行横向对比研究。结果双胃管腋窝胸骨旁环形引流+负压吸引组皮下积液的发生率为9.1%,皮瓣血运不良的发生率为8.2%;单胶管腋窝引流+负压吸引加压包扎组皮下积液的发生率为31.1%,皮瓣血运不良的发生率为22.2%;双胶管腋窝胸骨旁引流+负压吸引加压包扎组皮下积液发生率为21.4%,皮瓣血运不良的发生率为25%。结论腋下胸骨旁双胶管引流术后皮下积液的发生率低于单纯腋下单管引流,有明显差异;单纯负压吸引组术后皮瓣血运不良发生率明显低于负压吸引+加压包扎组,有明显差异;双胃管引流皮下积液的发生率低于双胶管引流,但差异不显著。
Objective To compare the efficacy of several common methods of postoperative drainage of breast cancer to choose one of the best drainage methods. Methods A total of 183 cases of breast cancer with radical mastectomy in our hospital from June 2004 to February 2007 were compared by transverse study. Results The incidence of subcutaneous effusion in the armpit of the double gastric tube was 9.1% in the parasternal circular drainage of the pararythmus and negative pressure, and 8.2% in the incidence of poor blood supply to the flap. The axillary drainage of the single tube and the subcutaneous The incidence of fluid was 31.1%, the incidence of flaps was 22.2%. The incidence of subcutaneous effusion in the axillary drainage tube + suction pressure bandaging group was 21.4% The rate is 25%. Conclusions The incidence of subcutaneous effusion after axillary parathyroids drainage is lower than that under single armpit drainage. There is a significant difference between the two groups in the incidence of subarachnoid hemoptysis, Pressure bandaging group, there were significant differences; double gastric tube drainage subcutaneous effusion rate was lower than the double hose drainage, but the difference was not significant.