摘要
目的 :评价乳腺癌改良根治术后创面处理改进方法 ,分析 Dexon皮内缝合加 Redon负压引流的应用效果。方法 :以 12 8例乳腺癌改良根治术后 ,应用 Dexon缝合加 Redon负压引流而创面处理改进的患者为实验组 ;以12 3例乳腺癌改良根治术后传统缝合加负压球引流处理患者为对照组 ,分析术后并发症和住院日的差异。结果 :12 8例实验组患者术后皮下积液 16例 (12 .5 % )、皮肤坏死 1例 (0 .78% )、术后平均住院时间为 8.83d;12 3例对照组患者皮下积液 4 7(38% )、皮肤坏死 16 (13% )、术后平均住院时间为 14 .6 7d;实验组结果明显优于对照组。结论 :以Dexon皮内缝合加 Redon负压引流方法改进乳癌改良根治术后创面的方法后 ,能使手术创面充分引流 ,明显降低并发症的发生 ,缩短住院时间 。
Objective: To evaluate the efficacy of Dexon continuous intracutaneous sewing (DCIS) and Redon negative pressure absorbing drainage (RNPAD) in modified radical mastectomy of breast cancer. Methods: The clinical data of 128 patients treated with DCIS and RNPAD, and 123 cases treated with traditional sewing and ne gative pressure absorbing ball were analyzed retrospectively. Results: There were 16 cases (12 5%) of seroma formation, 1 (0 8%) of skin flay necrosis among 128 cases treated by DCIS and RNPAD, and 47 cases (38%) of seroma formation, 16 (13%) of skin flay necrosis among 123 cases treated by traditional method. The statistically significant difference was found ( P <0.001). The average length of post operation hospital stay in DCIS and RNPAD group was 8 8 days compared with 14 7 days in traditional treatment group. Conclusion: The use of DCIS and TNPAD could decrease the complication rate of breast cancer operation.
出处
《浙江大学学报（医学版）》
CAS
CSCD
2004年第5期456-458,共3页
Journal of Zhejiang University(Medical Sciences)
