论文部分内容阅读
目的探讨应用多管腔硅胶管对预防乳腺癌根治术后皮下积液的临床效果。方法将206例乳腺癌患者按手术时间随机分为两组,观察组104例,应用多管腔硅胶管,在腋下及锁骨下窝置分别多管腔硅胶管各1条,接负压球持续负压吸引,再用弹力绷带加压包扎;对照组102例,在腋下及锁骨下窝置单腔引流管各1条,接负压球持续负压吸引,再用弹力绷带加压包扎。结果观察组术后平均置管时间为(5.62±2.19)d明显少于对照组(9.37±2.85)d(t=2.418,P<0.01);观察组术后发生皮下积液7例(6.73%)明显少于对照组明显少于对照组(38例和37.25%)(χ2=8.930,P<0.01),具有统计学意义。结论多管腔硅胶管可明显缩短乳腺癌根治术后置管时间及减少皮下积液发生。
Objective To explore the clinical effect of using multi-lumen silicone tube to prevent subcutaneous fluid accumulation after radical mastectomy. Methods 206 patients with breast cancer were randomly divided into two groups according to the operation time. The observation group consisted of 104 patients. Multi-lumen silicone tubes were used. One multi-lumen silicone tube was placed under the armpit and subclavian. Sustained negative pressure was absorbed and then bandaged with elastic bandage; 102 patients in the control group were placed with a single lumen drainage tube under the armpit and infraclavicular, followed by negative pressure ball suction, and then elastic bandage compression dressing. . Results The average time of catheterization in the observation group was (5.62±2.19) d, which was significantly less than that of the control group (9.37±2.85) d (t=2.418, P<0.01). There were 7 cases of subcutaneous fluid in the observation group (6.73%). Significantly less than the control group significantly less than the control group (38 cases and 37.25%) (χ2 = 8.930, P <0.01), with statistical significance. Conclusion Multi-lumen silicone tube can significantly shorten the time of catheterization after radical mastectomy and reduce the occurrence of subcutaneous fluid.