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双管引流法在乳腺癌术后的应用及体会

常亮 傅侃达 马明德 户庄 周振宇

中国医学创新Issue(23):20-21,22,3.
中国医学创新Issue(23):20-21,22,3.DOI:10.3969/j.issn.1674-4985.2013.23.009

双管引流法在乳腺癌术后的应用及体会

The Application and Experience of Double Tube Drainage Method in the Postoperative Breast Cancer

常亮 1傅侃达 1马明德 1户庄 1周振宇1

作者信息

  • 1. 河南大学淮河医院 河南 开封 475000
  • 折叠

摘要

Abstract

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.

关键词

乳腺癌/改良根治术/双管引流/皮下积液

Key words

Breast cancer/Modified radical mastectomy/Double tube drainage/Subcutaneous water accumulation

引用本文复制引用

常亮,傅侃达,马明德,户庄,周振宇..双管引流法在乳腺癌术后的应用及体会[J].中国医学创新,2013,(23):20-21,22,3.

中国医学创新

1674-4985

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