论文部分内容阅读
目的探讨胸大肌肌瓣转移术对乳腺癌改良根治术后淋巴漏的预防效果。方法乳腺癌患者75例,将75例患者分成两组,实验组35例,行乳腺癌改良根治术+胸大肌肌瓣转移术;对照组40例,单纯行乳腺癌改良根治术。观察两组患者术后第1、2、3天引流量、拔管时间、皮下积液情况,并进行比较。结果实验组术后第1、2、3天引流量分别为(129.82±11.46)ml、(89.94±9.73)ml和(30.82±10.56)ml,对照组分别为(179.47±24.23)ml、(130.82±10.56)m和(87.82±8.44)n1;实验组术后拔管时间为(6.47±1.62)天,对照组为(9.41±1.91)天;实验组皮下积液发生率为2.85%,对照组为17.5%,两组3种指标比较,差异均有统计学意义(P<0.05)。结论乳腺癌改良根治术后行胸大肌肌瓣转移可预防术后淋巴漏的发生。
Objective To investigate the preventive effect of pectoralis major muscle flap transfer on lymphopenia after modified radical mastectomy for breast cancer. Methods 75 cases of breast cancer patients, 75 patients were divided into two groups, the experimental group of 35 patients underwent modified radical mastectomy and pectoralis major muscle flap transfer; control group of 40 patients, simple modified radical mastectomy. The drainage volume, extubation time and subcutaneous effusion on the 1st, 2nd, 3rd day after operation were observed and compared. Results The drainage volume of the experimental group was (129.82 ± 11.46) ml, (89.94 ± 9.73) ml and (30.82 ± 10.56) ml on the 1st, 2nd and 3rd postoperative days respectively, while it was (179.47 ± 24.23) ml and ± 10.56) m and (87.82 ± 8.44) n1 respectively. The extubation time was (6.47 ± 1.62) days in the experimental group and (9.41 ± 1.91) days in the control group. The incidence of subcutaneous effusion in the experimental group was 2.85% Was 17.5%. There were significant differences between the three groups (P <0.05). Conclusion Breast cancer after modified radical mastectomy pectoralis major muscle flap metastasis can prevent the occurrence of postoperative lymph leak.