| 乳腺癌改良根治术后皮下积液的临床对照研究 |
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| 引用本文： | 黄永建,叶建新,许东坡,李樟寿,蔡伟华.乳腺癌改良根治术后皮下积液的临床对照研究[J].中国现代医生,2008,46(31):17-18. |
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| 作者姓名： | 黄永建 叶建新 许东坡 李樟寿 蔡伟华 |
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| 作者单位： | 福建医科大学附属第一医院肿瘤外科,福州,350005 |
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| 摘 要： | 目的研究乳腺癌改良根治术后引流加包扎是否优于单纯的负压引流，及影响乳腺癌改良根治术后皮下积液的影响因素。方法选取100例乳腺癌患者，随机分为单纯负压引流组（实验组）及负压引流加包扎组（对照组），每组各50例。均作保留胸大小肌乳腺癌改良根治术（Auohineloss术式）。记录病人年龄、BMI、肿瘤大小、淋巴结转移情况、手术切口、引流情况及拔除引流管的时间及拔除引流管后出现积液的情况。引流管为腹腔硅胶引流管分别为腋窝26号，胸壁22号。结果两组患者的术后发生积液的差异无统计学意义（x^2=0．0884，P=0．7662〉0．05）。但积液患者与无积液患者的BMI差异有明显统计学意义（P=0．009〈0．01）。结论两种引流方法各有优缺点。对切口有张力患者可适当加压。
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| 关 键 词： | 乳腺癌 皮下积液 加压包扎 负压吸引 |
Clinical Study of Subeutaneous Fluid Accumulation after Modified Radical Mastectomy for Breast Cancer |
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| Authors: | HUANG Yongjian YE Jianxin XU Dongpo LI Zhangshou CAI Weihua |
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| Institution: | HUANG Yongjian YE Jianxin XU Dongpo LI Zhangshou CAI Weihua Department of Cancer Surgery,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005 |
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| Abstract: | Objective To study the clinical effects of dressing and undressing wounds after breast cancer resection.Methods 100 patients receiving modified radical mastectomy were randomly divided into two equal groups:the experimental group and the control group.In the experimental group,the patients received two-tube drainage but no pressed dressings.In the control group,the patients received pressed dressings plus two-tube drainages.The rate of wound hydrops and the clinical effects were recorded and the data were s... |
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| Keywords: | Mammary cancer Hydrops Wound dressing Negative pressure drainage |
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