CAJ | 학술논문

　　目的：探讨双管引流法在乳腺癌改良根治术后的应用体会。方法：对河南大学淮河医院2010年3月-2012年1月的305例乳腺癌改良根治术病例，分为双管法组160例和单管法组145例，分别采用沿背阔肌前缘置腋下引流管及胸骨旁引流管的双管引流法和背阔肌前缘置腋下引流管一根接负压的单管引流法；观察两组引流量、引流时间及皮下积液情况。结果：（1）引流时间双管法（8.2±1.39）d与单管法（10.4±2.09）d比较拔管时间缩短，引流量双管法总引流量（470.77±23.52）ml，较单管法总引流量（442.90±26.40）ml多，差异均有统计学意义（P<0.01）；（2）145例单管引流法出现皮下积液15例；160例双管引流法出现皮下积液7例，双管法出现皮下积液的几率较单管法小，差异有统计学意义（P<0.05），但在出现皮瓣坏死和术侧上肢水肿情况方面两组比较差异无统计学意义（P>0.05）。结论：双管引流法患者带管时间较单管引流法短，总引流量较单管法多，对防治皮下积液的效果优于单管引流法。
　　목적：탐토쌍관인류법재유선암개량근치술후적응용체회。방법：대하남대학회하의원2010년3월-2012년1월적305례유선암개량근치술병례，분위쌍관법조160례화단관법조145례，분별채용연배활기전연치액하인류관급흉골방인류관적쌍관인류법화배활기전연치액하인류관일근접부압적단관인류법；관찰량조인류량、인류시간급피하적액정황。결과：（1）인류시간쌍관법（8.2±1.39）d여단관법（10.4±2.09）d비교발관시간축단，인류량쌍관법총인류량（470.77±23.52）ml，교단관법총인류량（442.90±26.40）ml다，차이균유통계학의의（P<0.01）；（2）145례단관인류법출현피하적액15례；160례쌍관인류법출현피하적액7례，쌍관법출현피하적액적궤솔교단관법소，차이유통계학의의（P<0.05），단재출현피판배사화술측상지수종정황방면량조비교차이무통계학의의（P>0.05）。결론：쌍관인류법환자대관시간교단관인류법단，총인류량교단관법다，대방치피하적액적효과우우단관인류법。
Objective:To investigate the application and experience of double tube negative pressure drainage method after modified radical mastectomy.Method:305 cases with breast cancer received modified radical mastectomy come from Huaihe Hospital of Henan University from March 2010 to January 2012.All cases were randomized into two groups.Double-tube method group(160 cases)was given an armpit drainage tube along the leading edge of the latissimus dorsi and a parasternal draingage tube. Single-tube method group(145 cases)was only set an armpit drainage tube along the leading edge of the latissimus dorsi.The drainage volume,drainage time and the rate of subcutaneous water accumulation were observed.Result:Compared with single-tube method(10.4±2.09)d,double-tube drainage time was(8.2±1.39)d,extubation time was shortened.Compared with single-tube method,double-tube method has more total drainage volume,respectively was(470.77±23.52)ml and(442.90±26.40)ml at the same time.There were significant differences(P<0.01);the rate of subcutaneous water accumulation in double-tube method group(7/160)was lower than that in single-tube method group(15/145),there was a significant difference(P<0.05).But there were no significant differences in the events of upper limb edema and flap necrosis(P>0.05).Conclusion:Double tube drainage method has a shorter time with a pipe than single-tube drainage method,and has a more total drainage volume than the single-tube drainage method.In addition to this,double-tube drainage method is better than single-tube drainage method in preventing subcutaneous water accumulation.