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目的探讨乳腺癌术后皮下积液产生的相关因素与防治措施。方法回顾性分析我科2005年1月—2011年9月收治的145例乳腺癌手术患者的临床资料,采用Logistic回归分析皮下积液发生的相关因素。结果 40例乳腺癌患者术后发生皮下积液,手术方式、引流管数量、拔管前1 d引流量与皮下积液的发生具有相关性,其相关性强弱依次为手术方式>拔管前1 d引流量>引流管数量。结论乳腺癌术后皮下积液的发生为多因素所致,通过术前合理选择手术方式、术中精细操作、术后加压包扎+置管引流等干预,可以有效降低乳腺癌术后皮下积液的发生率。
Objective To investigate the related factors and prevention and treatment of subcutaneous effusion after breast cancer surgery. Methods The clinical data of 145 patients with breast cancer who underwent surgery in our department from January 2005 to September 2011 were retrospectively analyzed. Logistic regression was used to analyze the related factors of subcutaneous effusion. Results 40 cases of breast cancer patients developed subcutaneous effusion after surgery, the number of surgical drainage, the amount of drainage on the first day before extubation and the occurrence of subcutaneous fluid has a correlation, the correlation between strength and order were surgical> extubation 1 d drainage> number of drainage tubes. Conclusions The occurrence of subcutaneous effusion after breast cancer is caused by many factors. By preoperative rational choice of operation mode, fine operation in operation, postoperative compression bandage + catheter drainage and other interventions, it can effectively reduce the postoperative subcutaneous product of breast cancer The incidence of fluid.