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目的:通过比较不同引流方法对乳腺癌改良根治术后皮下积液的影响,探讨减少乳腺癌改良根治术后皮下积液方法。方法:回顾性分析乳腺癌改良根治术患者216例,其中单管引流86例(A组),双管引流130例(B组),两组进行临床对比分析。结果:单管引流组与双管引流组术后引流总量、皮下积液量、拔管时间及切口愈合时间比较,有统计学意义。术后引流管表面皮肤红肿、疼痛发生率及切缘皮瓣缺血情况比较无统计学差异。结论:双管引流对乳腺癌改良根治术是一种理想术引流方式。
Objective: To compare the effect of different drainage methods on subcutaneous effusion after modified radical mastectomy for breast cancer, and to explore ways to reduce subcutaneous effusion after modified radical mastectomy for breast cancer. Methods: A total of 216 patients with modified radical mastectomy for breast cancer were retrospectively analyzed, including 86 cases of single-tube drainage (group A) and 130 cases of double-tube drainage (group B). The clinical comparisons were made between the two groups. Results: The total drainage volume, subcutaneous fluid volume, extubation time and incision healing time of single-tube drainage group and double-tube drainage group were statistically significant. Postoperative drainage tube surface skin irritation, the incidence of pain and marginal flap ischemia was no significant difference. Conclusion: Double-tube drainage for radical mastectomy for breast cancer is an ideal drainage method.