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目的:探讨两种不同的创面处理的方式对乳腺癌改良根治术后皮下积液发生率的的影响。方法:自2005年1月～2006年12月在我科实施乳腺癌改良根治术者118例,均采用Stewart横切口,随机采用2种创面处理方式:(1)胸壁加压包扎组(A组)62例;(2)皮瓣与深层组织缝合组(B组)56例。比较加压包扎组与皮瓣缝合组对乳腺癌改良根治术后皮下积液的影响。结果:A组发生皮下积液5例(5/62),B组发生皮下积液4例(4/56),两组比较差异无统计学意义(P>0.05)。结论:乳腺癌改良根治术后皮瓣与深层缝合是一种安全、有效的创面处理方法,绷带加压包扎不仅无益于皮下积液的减少,还有导致皮瓣坏死的风险。
Objective: To investigate the effect of two different wound treatments on the incidence of subcutaneous effusion after radical mastectomy for breast cancer. Methods: From January 2005 to December 2006, 118 cases of modified radical mastectomy in our department were treated with Stewart transverse incision. Two types of wound treatment were adopted randomly: (1) chest wall pressure bandaging group (group A ) 62 cases; (2) flap and deep tissue suture group (B group) 56 cases. The effect of pressure bandaging group and skin flap suture group on subcutaneous effusion after modified radical mastectomy for breast cancer was compared. Results: Subcutaneous effusion in group A occurred in 5 cases (5/62). Subcutaneous effusion in group B occurred in 4 cases (4/56). There was no significant difference between the two groups (P> 0.05). Conclusion: Flap and deep suture after modified radical mastectomy is a safe and effective method of wound treatment. Bandage bandaging is not only not conducive to the reduction of subcutaneous fluid, but also the risk of skin flap necrosis.