【摘要】 目的探讨乳腺癌改良根治术后不同伤口加压包扎时间对患者术后并发症的影响,为选择合适的加压包扎时间提供依据,并总结乳腺癌改良根治术后常见并发症的原因及防治措施。方法收集241例行乳腺癌改良根治术患者的临床资料,根据术后不同的加压包扎时间将其分成一天组(n=132)和四天组(n=109);比较两组患者术后皮瓣坏死、皮下积液、拔管时间、舒适度,总结乳腺癌改良根治术后并发症的原因及防治措施。结果两组患者在皮瓣坏死、皮下积液、拔管时间方面差异无统计学意义(P>0.05)。一天组、四天组舒适度方面可接受比例分别为49.24%(65/132)、19.27%(21/109),两组差异有统计学意义(χ2=23.375,P<0.05)。结论乳腺癌改良根治术后伤口加压包扎一天与术后伤口加压包扎四天对术后皮瓣坏死、皮下积液的发生率及拔管时间无明显影响,但包扎一天明显减轻患者的不适感,值得推广。更多还原

【Abstract】 Objective: To study effects of different wound pressure dressing time on the postoperative complications after modified radical mastectomy in breast cancer patients, and provides the basis for the selection of appropriate wound pressure dressing time, summarize the causes and prevention measures of postoperative complications. Methods: Collected the clinical data of 241 breast cancer patients who underwent modified radical mastectomy, they were divided into one day group(n=132) and four days group(n=109) according to the different wound pressure dressing time; To compared the rate of skin fl ap necrosis, subcutaneous, effusion extubation time and comfort between two groups, summarize the causes and prevention measures of postoperative complications. Results: The rate of skin flap necrosis, subcutaneous effusion and extubation time between two groups was no significant difference(P>0.05). The comfort acceptable rates of One day group and four day group were 49.24%(65/132) and 19.27%(21/109) respectively, with a significant difference between two groups(χ2=23.375, P<0.05). ConclusionsDifferent wound pressure dressing time(for one day or four days) after modified radical mastectomy in breast cancer patients had no significant effect on necrosis of skin flap, subcutaneous dropsy and extubation time, but the less wound pressure dressing time significantly reduce patient’s discomfort, worthy of promotion.更多还原