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目的评价负压引流在预防乳腺癌术后出血和积液中所起临床作用，进一步提高手术质量。方法本１３５６手术病例分为二组，１９９３年前病例（采用常规负压吸引和术中处理）定为Ａ组，１９９４年后病例（采用持续低负压吸引和预防性措施）定为Ｂ，组两组各类手术与引流参数、出血和积液病例数进行回顾性比较分析。结果本病例术后出血有６例，出血发生中为０．４％；术后积液有１１４倒，积液发生率为８．４％。Ａ组与Ｂ组在出血病例（５：１）、积液病例（８５：２９）和第１天引流量（２２４：１７６）上比较差异显著，在总引流量（３５２：３１９）和拔管天数（４．８：４．５）上无统计学差异。结论持续低负压吸引加预防性措施是预防乳腺癌术后出血、积液等并发症有效的方法。
Objective To evaluate the role of negative pressure drainage in the prevention of postoperative bleeding and fluid accumulation in breast cancer, and to further improve the quality of surgery. Methods The 1356 surgical cases were divided into two groups. Cases before 1993 (using conventional vacuum suction and intraoperative treatment) were classified as group A, and cases after 1994 (using continuous low vacuum suction and preventive measures) were rated as B. A retrospective comparative analysis was conducted between the two groups of patients with various surgical and drainage parameters, and the number of cases of bleeding and effusions. RESULTS: There were 6 cases of postoperative hemorrhage and 0.4% of hemorrhage. Postoperative effusion was 114 and effusion was 8.4%. There were significant differences between group A and group B in bleeding (5:1), effusion (85:29), and drainage (224:176) on day 1, total drainage (352:319) and extubation There was no statistical difference in the number of days (4.8:4.5). Conclusion Continuous low-pressure suction and preventive measures are effective methods to prevent postoperative complications such as postoperative bleeding and fluid accumulation in breast cancer.