不同方法预防乳腺癌术后皮下积液疗效的比较

摘要

Objective:To expolre an effective clinical method in prevention of subcutaneous fluid in breast cancer patients after modified radical mastectomy. Methods: Total of 72 patients were divided into 3 groups: control group,chest compression bandaging group and combination of chest compression bandaging and medical fibrin glue group.Every group contained 24 cases. The difference of quantity of subcutaneous drainage solution, average duration with subcutaneous drainage -tube and incidence rate of subcutaneous fluid were analysed. Results: Compared with control group and chest compression bandaging group, the combination group had more advantages in all aspects: the quantity of subcutaneous drainage solution was least ( P ＜ 0.05 ), the average duration with subcutaneous drainage tube was minimum ( P ＜ 0.05 ) and the incidence rate of subcutaneous fluid was lowest ( P ＜ 0.05 ). Conclusion: The combination of chest compression bandaging and medical fibrin glue is an effective clinical method in prevention of subcutaneous fluid in breast cancer patients after modified radical mastectomy.%目的:观察乳腺癌术中、术后不同处理方法对患者术后皮下引流量及皮下积液发生率的影响,探讨预防皮下积液发生的有效方法.方法:将72例乳腺癌患者随机分为3组,每组24例,分对照组、单纯加压包扎组、加压包扎联合术中应用医用生物蛋白胶组,比较3组患者术后皮下引流量、平均拔管时间以及皮下积液的发生率.结果:与对照组及单纯加压包扎组相比,加压包扎联合术中应用医用生物蛋白胶组的术后皮下引流量更少(P＜0.05)、术后带管时间更短(P＜0.05)、术后皮下积液的发生率更低(P＜0.05).结论:术后胸部弹力绷带加压包扎联合术中应用医用生物蛋白胶是一种降低乳腺癌术后皮下积液发生的有效方法.