乳腺癌根治术后皮下积液及皮瓣坏死的综合防治

目的：探讨综合防治乳腺癌根治术后皮下积液及皮瓣坏死的临床疗效。方法：将我院最近3a来乳腺癌根治术后的病人602例分为两组：观察组289例（A组），均采用综合防治，包括保留适度皮瓣、创面充分止血、淋巴管残端结扎、双管负压引流、适当加压包扎、生物蛋白胶的使用、消灭皮下死腔、患肢功能锻炼等措施；对照组313例（B组），未采用综合防治措施。将A、B两组各类手术的引流参数、出血、皮下积液和皮瓣坏死例数进行统计学分析：结果：A、B两组在出血、皮下积液、皮瓣坏死．第一天引流量．总引流量和拔管天数上都存在着显著差异（P＜0．05）。结论：对乳腺癌根治术后皮下积液和皮瓣坏死进行综合防治，有较明显的疗效，值得推广和应用。

COMBINED PREVENTION AND TREATMENT OF SUBCUTANEOUS HYDROPS AND SKIN FLAP NECROSIS AFTER RADICAL MASTECTOMY OF BREAST CARCINOMA

Objective:To explore clinical effects of combined prevention and treatment of subcutaneous hydrops and skin flap necrosis after radical mastectomy of breast carcinoma.Methods: 602 patients conducted radical mastectomy in recent 3 years were divided into two groups.Experimental group(A),289 cases,were conducted with combined prevention and treatment.These methods included retaining suitable skin flap,stanching bleeding of the surface of wound,ligating the stub of lymph atic vessel,bitubular drainage with negative pressure,pressure bandage,using bioprotein glue,eliminating the subcutaneous dead space,dirigation of wounded limb,etc.Control group(B),313 cases,were unconducted with combined prevention and treatment.The two groups of operation modes were compared for drainage parameters,bleeding,subcutaneous hydrops and skin flap necrosis in statistics.Results:There were significant differences in terms of bleeding,subcutaneous hydrops,skin flap necrosis,drainage volume of the first day,total drainage volume and day of drainage removal between experimental and control group(P<0.05).Conclusion: There were obviously clinical effects through combined prevention and treatment of subcutaneous hydrops and skin flap necrosis after radical mastectomy of breast carcinoma.It was worthy of being spreaded and applied.