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目的:探讨胶原海绵用于乳腺癌改良根治术中止血的临床疗效。方法:将80例乳腺癌改良根治术患者随机分为观察组与对照组各40例。在手术创面分别使用胶原海绵(观察组)和明胶海绵(对照组)两种敷料进行压迫止血。结果:观察组止血效果明显优于对照组,引流量明显少于对照组(P<0.05)。结论:胶原海绵在乳腺癌改良根治术中具有明显的止血效果,能有效地减少术中创面的出血量、出血时间、术后1~3 d的引流量,增加手术的安全性,为减少术中、术后并发症及更好促进患者早期康复创造了有利条件,值得临床应用。
Objective: To investigate the clinical efficacy of collagen sponge in the hemostasis of modified radical mastectomy for breast cancer. Methods: 80 cases of modified radical mastectomy patients were randomly divided into observation group and control group, 40 cases each. The surgical wounds were treated with two kinds of dressings: collagen sponge (observation group) and gelatin sponge (control group), respectively. Results: The hemostatic effect of the observation group was significantly better than that of the control group, and the drainage volume was significantly less than that of the control group (P <0.05). CONCLUSION: Collagen sponge has obvious hemostatic effect in modified radical mastectomy of breast cancer, which can effectively reduce the amount of hemorrhage, bleeding time and drainage volume 1 ~ 3 days after operation, and increase the safety of operation. Medium and postoperative complications and better promote early rehabilitation of patients to create favorable conditions, it is worth clinical application.