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目的:探讨乳腺癌改良根治术后双管负压引流的方法及其预防皮下积液和皮瓣坏死的效果。方法:回顾性分析2010年9月至2012年6月156例乳腺癌患者的临床资料。结果:6例患者出现腋窝局限性积液,行套管针引流两周后愈合;12例患者出现切口中段皮缘处皮瓣坏死,行坏死皮瓣切除Ⅰ期缝合,愈合顺利。结论:引流管的合理选择及摆放是减少皮下积液的前提;合理的拔管时机及正确的拔管方法可预防拔管后皮下积液;双管负压引流免加压包扎法不影响皮瓣血运,有利于创面愈合。
Objective: To explore the method of double-tube negative pressure drainage after modified radical mastectomy for breast cancer and to prevent the subcutaneous effusion and flap necrosis. Methods: The clinical data of 156 patients with breast cancer from September 2010 to June 2012 were retrospectively analyzed. Results: In 6 patients, there were partial effusion of armpit and healing after two weeks of trochar drainage. In the 12 patients, necrosis of the skin flap at the middle margin of the incision occurred and the necrotic flap was used for resection of stage Ⅰ sutures. Conclusion: The rational selection and placement of drainage tube is the prerequisite to reduce subcutaneous fluid; reasonable timing of extubation and correct extubation method can prevent subcutaneous fluid after extubation; double-tube negative pressure drainage without pressure banding method does not affect Flap blood supply, is conducive to wound healing.