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目的探讨乳腺癌改良根治术后出现皮下积液时的有效处理方法。方法 68例乳腺癌改良根治术后出现皮下积液患者随机分为试验组36例和对照组32例,试验组采用多根套管针自然引流加多头胸带局部加压包扎处理皮下积液,对照组采用常规方法即注射器抽液加绷带包扎。比较两组患者第1天引流量、总引流量、积液治愈时间、总换药费用、总住院天数等。结果试验组第1天引流量多于对照组(P<0.01),而总引流量少于对照组(P<0.01)。试验组积液治愈时间短于对照组,总换药费用低于对照组,总住院天数少于对照组(P<0.01)。结论多根套管针自然引流加多头胸带局部加压包扎治疗乳腺癌改良根治术后皮下积液操作简便、引流效果好、治愈时间短、治疗费用低,值得临床推广应用。
Objective To investigate the effective treatment of subcutaneous effusion after modified radical mastectomy for breast cancer. Methods A total of 68 patients with subcutaneous effusion after modified radical mastectomy were randomly divided into experimental group (36 cases) and control group (32 cases). In the experimental group, multiple trocars with natural drainage plus multiple chest band local pressure dressing were used to treat subcutaneous effusion, The control group using the conventional method of syringe pumping fluid bandage bandage. The first day of drainage, total drainage, effusion healing time, total replacement cost and total hospitalization days were compared between the two groups. Results The drainage volume of the experimental group was more than that of the control group on the first day (P <0.01), while the total drainage volume was less than that of the control group (P <0.01). The test group effusion healing time is shorter than the control group, the total replacement cost lower than the control group, the total number of hospital stay less than the control group (P <0.01). Conclusions Multi-root trocar natural drainage combined with multi-head chest band local pressure bandaging for the treatment of modified radical mastectomy of breast cancer is simple and convenient operation, drainage effect is good, the cure time is short, the treatment cost is low, worthy of clinical promotion and application.