国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
4期
489-492
,共4页
持续中心负压吸引%乳腺癌
持續中心負壓吸引%乳腺癌
지속중심부압흡인%유선암
Continuous center attract negative pressure%Breast cancer
目的 了解持续中心负压吸引在预防乳腺癌改良根治术后皮下积液的作用.方法 将临床符合标准的乳腺癌术后患者随机分为对照组和实验组.对照组术后常规连续单管或双管接一次性负压瓶负压引流及弹力绷带加压包扎3～5天.实验组利用持续中心负压吸引,负压维持在-0.01 -0.03 Mpa(-100～-225 mmHg)之间持续负压吸引,连续3～5天,比较两组患者皮瓣区皮下积液及皮瓣坏死发生情况.结果 实验组术后皮下积液2例,对照组9例,实验组术后皮下积液发生率明显低于对照组(P＜0.05);实验组术后皮瓣坏死0例,对照组6例,实验组术后皮瓣坏死发生率明显低于对照组(P＜0.05).结论 持续中心负压吸引可用于预防乳腺癌改良根治及根治手术后皮下积液和皮瓣坏死的发生,并促进伤口愈合,值得在临床上推广应用.
目的 瞭解持續中心負壓吸引在預防乳腺癌改良根治術後皮下積液的作用.方法 將臨床符閤標準的乳腺癌術後患者隨機分為對照組和實驗組.對照組術後常規連續單管或雙管接一次性負壓瓶負壓引流及彈力繃帶加壓包扎3～5天.實驗組利用持續中心負壓吸引,負壓維持在-0.01 -0.03 Mpa(-100～-225 mmHg)之間持續負壓吸引,連續3～5天,比較兩組患者皮瓣區皮下積液及皮瓣壞死髮生情況.結果 實驗組術後皮下積液2例,對照組9例,實驗組術後皮下積液髮生率明顯低于對照組(P＜0.05);實驗組術後皮瓣壞死0例,對照組6例,實驗組術後皮瓣壞死髮生率明顯低于對照組(P＜0.05).結論 持續中心負壓吸引可用于預防乳腺癌改良根治及根治手術後皮下積液和皮瓣壞死的髮生,併促進傷口愈閤,值得在臨床上推廣應用.
목적 료해지속중심부압흡인재예방유선암개량근치술후피하적액적작용.방법 장림상부합표준적유선암술후환자수궤분위대조조화실험조.대조조술후상규련속단관혹쌍관접일차성부압병부압인류급탄력붕대가압포찰3～5천.실험조이용지속중심부압흡인,부압유지재-0.01 -0.03 Mpa(-100～-225 mmHg)지간지속부압흡인,련속3～5천,비교량조환자피판구피하적액급피판배사발생정황.결과 실험조술후피하적액2례,대조조9례,실험조술후피하적액발생솔명현저우대조조(P＜0.05);실험조술후피판배사0례,대조조6례,실험조술후피판배사발생솔명현저우대조조(P＜0.05).결론 지속중심부압흡인가용우예방유선암개량근치급근치수술후피하적액화피판배사적발생,병촉진상구유합,치득재림상상추엄응용.
Objective To study the function of continuous center attract negative pressure in preventing subcutaneous hydrops after radical mastectomy in breast cancer.Methods The patients accorded with the clinically standard after radical mastectomy were randomly divided into control group and experiment group,after radical mastectomy,the control group patients were tied up for 3 ～ 5 days by using normal regulatioas continuous single tube or double tube connecting a negative pressure,or with a bottle negative pressure to lead to flow and the elasticity bandage.The experiment group made use of continuous center attract negative pressure,pressure maintained at -0.01 ～ -0.03 Mpas(-100 ～ -225 mmHg) keeping on negative pressure,continuously for 3 ～ 5 days,we observed and compared the incidence rate of subcutaneous hydrops and flap necrosis,and recorded a related data to have statistical analysis.Results The subcutaneous hydrops in the experiment group was 2 cases (8％),while control group occurred 9 cases (35％).The incidence rate of subcutaneous hydrops in the experiment group was obviously lower than that of control group(P ＜ 0.05).No skin flap necrosis was noted in the experiment group (0％),while 6 cases found in control group(23％).The skin flap necrosis incidence rate in the experiment group was lower than that of control group with statistical significant difference (P ＜ 0.05).Conclusions Continuous center attract negative pressure can be used in radical mastectomy to prevent the incidence rate of subcutaneous hydrops and flap necrosis,helping the wound to heal.Therefore it is worth to be applied in clinic.
