【摘要】 目的研究改良的止血与引流方法在乳腺癌改良根治术术后止血中的作用。方法本研究在2010年4月-2012年7月期间对96例接受乳腺癌改良根治术的患者(研究组)采用可吸收性明胶海绵在腋顶区和腋血管周围填塞联合加压包扎并持续负压引流作为术后止血的主要措施,另放置负压引流管(双套管)引流。另选取同期接受乳腺癌改良根治术的82例患者(对照组)接受常规加压包扎并持续负压引流(单管)。观察并对照两组患者的术后止血效果。结果研究组患者术后2 h内的引流量以及术后拔管时间均较对照组显著降低,且皮下积液的发生率也显著下降,效果令人满意。研究组住院天数、创面一期愈合时间明显短于对照组。结论改良的止血与引流方法可以有效促进乳腺癌根治术后止血效果。更多还原

【Abstract】 Objective To explore modified hemostasis and drainage methods in treating bleeding after radical masterectomy for breast cancer.Methods 96 patients underwent modified radical mastectomy(research group)were treated with absorbable gelatin sponge stuffed and bandaged in the axillary area and axillary perivascular joint as well as continuous suction drainage for postoperative hemostasis.The other 82 patients with the same surgery method (control group) were treated with conventional bandage and continuous negative pressure drainage.postoperative hemostatic effect were observed and compared between 2 groups.Results Drainage volume and postoperative extubation time within 2 h after operation in research group were significantly lower than those of the control group,and the incidence rate of subcutaneous fluid decreased significantly as well.Length of stay and wound healing time in research group were significantly shorter than the control groupConclusion Modified hemostasis and drainage methods can effectively improve effect of hemostasis after radical masterectomy for breast cancer.更多还原