CAJ | 학술논문

目的通过对乳腺癌改良根治术后患者的临床病例资料统计对比分析，探讨术毕即刻持续壁负压吸引对乳腺癌患者术后皮下积液发生率的影响。方法回顾性分析2011年6月至2012年9月改良根治术治疗的120例乳腺癌患者临床病例资料，将其随机分为三组：试验A组40例患者双管引流，术毕即刻外接壁负压持续吸引，24 h后改为每2 h一次（ q2 h）间断壁负压吸引；试验B组40例患者双管引流，术毕24 h后外接壁负压q2 h间断吸引；对照C组40例患者双管引流，术毕外接普通负压鼓引流，比较三组对术后皮下积液发生的影响。结果三种不同术后引流方式对皮下积液发生率（χ2＝12.834，P＜0.05）、置管天数（χ2＝14.064，P＜0.05）及皮下积液累及范围（χ2＝12.468，P＜0.05）的影响均具有统计学差异。术毕即刻持续壁负压吸引组（A组）与对照组（C组）比较，积液发生率降低（χ2＝12.624，P＜0.05），置管天数缩短（χ2＝11.665，P＜0.05），积液累及范围减小（χ2＝11.25，P＜0.05）；与间断壁负压吸引组（ B组）比较，积液发生率降低（χ2＝4.114，P＜0.05），置管天数（χ2＝1.127，P＞0.05）及积液累及范围（χ2＝2.222，P＞0.05）统计学差异不明显。结论术毕即刻持续壁负压吸引较间断壁负压吸引及传统吸引方式更好的预防皮下积液的发生，临床统计数据具有统计学意义。
목적통과대유선암개량근치술후환자적림상병례자료통계대비분석，탐토술필즉각지속벽부압흡인대유선암환자술후피하적액발생솔적영향。방법회고성분석2011년6월지2012년9월개량근치술치료적120례유선암환자림상병례자료，장기수궤분위삼조：시험A조40례환자쌍관인류，술필즉각외접벽부압지속흡인，24 h후개위매2 h일차（ q2 h）간단벽부압흡인；시험B조40례환자쌍관인류，술필24 h후외접벽부압q2 h간단흡인；대조C조40례환자쌍관인류，술필외접보통부압고인류，비교삼조대술후피하적액발생적영향。결과삼충불동술후인류방식대피하적액발생솔（χ2＝12.834，P＜0.05）、치관천수（χ2＝14.064，P＜0.05）급피하적액루급범위（χ2＝12.468，P＜0.05）적영향균구유통계학차이。술필즉각지속벽부압흡인조（A조）여대조조（C조）비교，적액발생솔강저（χ2＝12.624，P＜0.05），치관천수축단（χ2＝11.665，P＜0.05），적액루급범위감소（χ2＝11.25，P＜0.05）；여간단벽부압흡인조（ B조）비교，적액발생솔강저（χ2＝4.114，P＜0.05），치관천수（χ2＝1.127，P＞0.05）급적액루급범위（χ2＝2.222，P＞0.05）통계학차이불명현。결론술필즉각지속벽부압흡인교간단벽부압흡인급전통흡인방식경호적예방피하적액적발생，림상통계수거구유통계학의의。
Objective Through the research of postoperative breast cancer patients clinical cases statistics contrast analysis ,this paper discusses that if the postoperative immediately continuous wall negative pressure suction has an influence on breast cancer incidence of postoperative subcutaneous effusion .Methods Retrospective analysis of 2011 June-September 2012 modified radical mastectomy treatment of 120 cases of breast cancer patients clinical case statistics,which were divided into three groups:Experimental group A includes 40 cases,who had double tube drainage,postoperative immediately continuous wall negative pressure suction for 24 hours,then replacing with once every 2 hours(q 2 h)discontinuity negative pressure suction .Experimental group B includes 40 cases,who had double tube drainage connected with discontinuity negative pressure suction once every 2 hours(q 2 h)after operation for 24 hours.Control group C includes 40 cases who had double tube drainage connected with common negative pressure drum, compare three groups of postoperative subcutaneous effusion happen influence .Results Three different postoperative drainage methods on subcutaneous effusion incidence (χ2 =12.834 , P<0.05 ) , catheter days (χ2 =14.064,P<0.05)and subcutaneous effusion involving the range of influence (χ2 =12.468,P<0.05)which had a statistics difference , group A compared with controls , reduce the incidence of effusion (χ2 =12.624 , P <0.05 ) , shorten catheter days (χ2 =11.665 ,P<0.05 ) ,reduced effusion involving the range (χ2 =11.25 ,P<0.05 ) ,group A compared with B,reduced the incidence of effusion (χ2 =4.114,P<0.05),catheter days(χ2 =1.127,P>0.05)and effusion involving the range (χ2 =2.222 ,P>0.05 ) statistics difference was not obvious .Conclusions Postoperative immediately continuous wall negative pressure suction between a discontinuity negative pressure suction and traditional way to attract better prevent subcutaneous effusion occurrence , clinical statistical data with statistical significance .