中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
2期
27-28
,共2页
乳腺癌%手术%并发症
乳腺癌%手術%併髮癥
유선암%수술%병발증
Breast cancer%Operation%Complication
目的 探讨乳腺癌术后并发乳糜漏的诊治及预防措施.方法 回顾性分析2005年1月至201 1年4月收治的7例乳腺癌术后并发乳糜漏患者的患者资料并对有关文献进行复习.结果 7例均为女性,其中左乳癌6例,右乳癌1例.所有患者均行乳腺癌改良根治术,清扫Ⅰ、Ⅱ、Ⅲ水平淋巴结.均于术后第1天进食后发现乳糜漏,平均引流量210 ml(150～410 ml),给予控制饮食、局部加压包扎、负压引流等保守治疗后所有患者均痊愈.腋下引流管拔除时间平均为13 d(7～25 d),均未影响术后后续治疗.结论 乳腺癌术后乳糜漏发生率低,诊断易明确,保守治疗多可治愈.术中清扫淋巴结时仔细结扎是预防术后乳糜漏的关键.
目的 探討乳腺癌術後併髮乳糜漏的診治及預防措施.方法 迴顧性分析2005年1月至201 1年4月收治的7例乳腺癌術後併髮乳糜漏患者的患者資料併對有關文獻進行複習.結果 7例均為女性,其中左乳癌6例,右乳癌1例.所有患者均行乳腺癌改良根治術,清掃Ⅰ、Ⅱ、Ⅲ水平淋巴結.均于術後第1天進食後髮現乳糜漏,平均引流量210 ml(150～410 ml),給予控製飲食、跼部加壓包扎、負壓引流等保守治療後所有患者均痊愈.腋下引流管拔除時間平均為13 d(7～25 d),均未影響術後後續治療.結論 乳腺癌術後乳糜漏髮生率低,診斷易明確,保守治療多可治愈.術中清掃淋巴結時仔細結扎是預防術後乳糜漏的關鍵.
목적 탐토유선암술후병발유미루적진치급예방조시.방법 회고성분석2005년1월지201 1년4월수치적7례유선암술후병발유미루환자적환자자료병대유관문헌진행복습.결과 7례균위녀성,기중좌유암6례,우유암1례.소유환자균행유선암개량근치술,청소Ⅰ、Ⅱ、Ⅲ수평림파결.균우술후제1천진식후발현유미루,평균인류량210 ml(150～410 ml),급여공제음식、국부가압포찰、부압인류등보수치료후소유환자균전유.액하인류관발제시간평균위13 d(7～25 d),균미영향술후후속치료.결론 유선암술후유미루발생솔저,진단역명학,보수치료다가치유.술중청소림파결시자세결찰시예방술후유미루적관건.
Objective To investigate the diagnosis,treatment and prevention of chylous leakage after modified radical mastectomy.Methods The clinical datas of 7 cases of chylous leakage after breast cancer operations were analyzed retrospectively from January 2005 to April 2011.A review of the literature regarding chylous leakage was carried out.Results All 7 patients were female,including the left in 6 cases and the right in 1 case.Modified radical mastectomy(with level Ⅲ axillary dissection)were performed in 7 cases.In the morning of the first postoperative day these 7 cases were confirmed by axillary pink-white colored liquid and chylomicron interpretation.Average of 210 milliliters(range:150-410 rrd)drainage was observed.The patients were treated conservatively,including a low fat diet,pressured bandage and continuous suction drain.The average time for axillary drain removal were 13 days (range:7-25 days).The following therapy were not delayed.Conclusions Chylous leakage is a rare complication of the breast surgery.Its diagnosis is quite easy.It can be cured by conservative treatment.During axillary dissection,especially ligature of deep tissues remains in the body on level Ⅱ,Ⅲ will reduce risk of chylous leakage.
