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目的 :探讨如何降低乳腺癌术后皮下积液的发生率。方法 :对 5 4例应用新方法的乳癌根治术病例与过去实施的 12 8例乳癌根治术进行了对比研究。结果 :乳腺癌根治术后皮下积液发生率由 2 4 .2 %降至现在的 9.3% ,经统计学处理二组间有显著性差异。结论 :预防乳癌术后皮下积液的要点是 :防止腋下淋巴管瘘 ;腋下及胸骨旁置双管引流 ;将皮瓣与胸壁做广泛缝合 ,促进二者早日愈合 ;胸带加压包扎要适度 ;保持引流通畅。
Objective: To explore how to reduce the incidence of subcutaneous fluid after breast cancer surgery. Methods: Fifty-four cases of radical mastectomy using the new method were compared with 128 cases of radical mastectomy performed in the past. Results: The incidence of subcutaneous effusion after radical mastectomy decreased from 22.2% to 9.3% now. There was a significant difference between the two groups after statistical treatment. Conclusion: The main points of prevention of postoperative subcutaneous effusion of breast cancer are as follows: to prevent underarm lymphatic fistula; double drainage of the armpit and sternum; extensive suturing of flap and chest wall to promote early healing of both; chest band compression bandage To be moderate; to maintain smooth drainage.