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目的评价乳腺癌术后双管负压引流对降低术后皮下积液、皮瓣坏死发生率的疗效。方法将2008年至2010年行改良根治术的292例乳腺癌患者随机分成2组,实验组150例患者采用腋下、胸骨旁双管引流,对照组142例患者采用传统的腋下单管引流,观察2种不同引流方法预防术后并发症皮下积液、皮瓣坏死的疗效。结果实验组有10例(6.7%)发生皮下积液,6例(4.0%)发生皮瓣坏死;对照组中29例(20.4%)发生皮下积液,18例(12.7%)发生皮瓣坏死。2组皮下积液、皮瓣坏死发生率比较,差异有统计学意义(P均<0.01)。结论乳腺癌术后采用腋下、胸骨旁双管负压引流能降低术后并发症的发生率。
Objective To evaluate the effect of double-tube negative pressure drainage on postoperative subcutaneous effusion and skin flap necrosis after operation. Methods A total of 292 breast cancer patients who underwent modified radical mastectomy between 2008 and 2010 were randomly divided into two groups. 150 patients in the experimental group were treated with axillary and bilateral parasternal drainage, and 142 patients in the control group received traditional axillary single-tube drainage , Observed two kinds of different drainage methods to prevent postoperative complications of subcutaneous effusion, skin flap necrosis efficacy. Results In the experimental group, subcutaneous fluid was found in 10 cases (6.7%) and flap necrosis in 6 cases (4.0%). In the control group, subcutaneous fluid was found in 29 cases (20.4%) and flap necrosis in 18 cases (12.7% . Subcutaneous fluid in 2 groups, the incidence of flap necrosis, the difference was statistically significant (P all <0.01). Conclusion Postoperative breast cancer with underarm, bilateral parasternal sternum drainage can reduce the incidence of postoperative complications.