腋窝处皮瓣外固定预防乳腺癌术后皮下积液的临床应用

摘要

Objective : To study the application of skin flap fixation in breast cancer operation. Methods : One hundred and fifteen patients of breast cancer were included in this study from May 2009 to November 2009. All patients were divided into two groups, external fixation group( n = 52 )used the skill of skin flap external fixation and the control group ( n = 63 ) applied the routine way to suture the wound. Volum and time of drainage , incidence of seroma were observed and recorded. Results : The volume of drainage , the time of drainage tube exelcymosis in external fixation group were significantly less than those in control group. Conclusion : The skin flap external fixation at axillary fossa may reduce the total drainage volume and incidence of postoperative seroma.%目的:探讨腋窝处皮瓣外固定预防乳腺癌术后皮下积液的临床效果.方法:我院2009年5月至2009年11月期间共115例患者行乳腺癌改良根治术,随机分为外固定组(52例)和对照组(63例),外固定组术中使用腋窝处皮瓣外固定技术,对照组采用常规切口缝合;比较两组患者术后引流量、引流管留置时间和皮下积液的发生情况.结果:外固定组患者术后引流管拔除时间明显少于常规组患者,差异有统计学意义(P<0.05).外固定组术后皮下积液发生率小于常规组,但差异无统计学意义(P>0.05).结论:乳腺癌术中腋窝处皮肤外固定可以明显降低术后引流量,减少皮下积液的发生率,有利于皮瓣的愈合.