乳腺癌改良根治术后创面处理的改进分析

目的:评价乳腺癌改良根治术后创面处理改进方法,分析Dexon皮内缝合加Redon负压引流的应用效果.方法:以128例乳腺癌改良根治术后,应用Dexon缝合加Redon负压引流而创面处理改进的患者为实验组;以123例乳腺癌改良根治术后传统缝合加负压球引流处理患者为对照组,分析术后并发症和住院日的差异.结果:128例实验组患者术后皮下积液16例(12.5%)、皮肤坏死1例(0.78%)、术后平均住院时间为8.83 d;123例对照组患者皮下积液47(38%)、皮肤坏死16(13%)、术后平均住院时间为14.67 d;实验组结果明显优于对照组.结论:以Dexon皮内缝合加Redon负压引流方法改进乳癌改良根治术后创面的方法后,能使手术创面充分引流,明显降低并发症的发生,缩短住院时间,有利于患者尽早实施其他综合治疗.

Improvement of wound treatment in modified radical mastectomy of breast cancer

Objective: To evaluate the efficacy of Dexon continuous intracutaneous sewing (DCIS) and Redon negative pressure absorbing drainage (RNPAD) in modified radical mastectomy of breast cancer. Methods: The clinical data of 128 patients treated with DCIS and RNPAD, and 123 cases treated with traditional sewing and ne gative pressure absorbing ball were analyzed retrospectively. Results: There were 16 cases (12 5%) of seroma formation, 1 (0 8%) of skin flay necrosis among 128 cases treated by DCIS and RNPAD, and 47 cases (38%) of seroma formation, 16 (13%) of skin flay necrosis among 123 cases treated by traditional method. The statistically significant difference was found ( P <0.001). The average length of post operation hospital stay in DCIS and RNPAD group was 8 8 days compared with 14 7 days in traditional treatment group. Conclusion: The use of DCIS and TNPAD could decrease the complication rate of breast cancer operation.