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1、持续高负压双管引流在乳腺癌改良根治术后应用的临床观察［摘耍］目的评价持续高负压双管引流在乳腺癌改良根治术后应用的临床效果。方法选择2012年1〜12月间于中山市人民医院乳腺外科接受乳腺癌改良根治术的240例女性患者为研究对象，随机分为持续高负压双管引流组（观察组）和传统加压包扎组（对照组），每组各120例，均接受单侧改良根治术，观察组采用真空高负压引流瓶作为引流仪器，全过程不再采取加压包扎；对照组采用一般的负压引流器作为引流仪器，全过程需要加压包扎，观察、记录并比较两组病人手术过后的皮下积液及皮瓣坏死
2、的发生率、伤口引流量及术后拔管时间。结果观察组术后皮下积液发生率（10.8%）.皮瓣缺血坏死率（2.5%）、伤口引流量（474mL）及拔管时间（4.5d）明显优于对照组（17.5%、7.5%、638inL、6.5d）,差异均具有统计学意义（卩〈0.05）o结论持续高负压双管引流能有效地减少乳腺癌改良根治术后并发症的发生，促进切口愈合，并为术后尽早实施放疗、化疗等辅助治疗创造条件。［关键词］改良根治术；持续高负压双管引流；术后并发症［中图分类号］R737.9［文献标识码］A［文章编号］1673-7210
3、（2013）11（c）-0045-03Clinicalobservationoftheapplicationofsustainedhigh-vacuumdoublesuctiondrainageinthe且fter-treatmentofmodifiedradicalmastectomyLINGFeihailCHENShifenglMAShihuilZHANGJiangvu21.DepartmentofBreastSurgery.ZhongshanPeople，sHospital,GuangdongP
4、rovince,Zhongshan528403,China；2.DepartmentofPathology,GuangdongProvincialMaternityandChildCareCenter,GuangdongProvince,Guangzhou510010,China[Abstract]ObjectiveToevaluatetheclinicaleffectofsustainedhigh-vacuumdoublesuctiondrainageinthetreatmentaftermodif
5、iedradicalmastectomy.Methods240femalepatientswithmodifiedradicalmastectomyfromJanuarytoDecember2012intheZhongshanPeople'sHospitalwererandomlydividedintotheobservationgroup(treatedbysustainedhigh-vacuumdoublesuctiondrainage)andthecontrolgroup(treatedbytr
6、aditionaltherapy),with120patientsineachgroup.Al1patientsweregiventheunilateralmodifiedradicalmastectomy,theobservationgroupwasdrainedbyhighvacuumnegativepressuredrainagebottle,withnopressuredressinginwholeprocessandthecontrolgroupwasdrainedbygeneralnega
7、tivepressuredrainagedevice,pressuredressinginwholeprocess.Theincidenceofsubcutaneoushydropsandflapnecrosis,totalamountofdrainedfluid,andpostoperativeextubaliontimewererecordedandcomparedbetweenthetwogroups.ResuItsTheincidenceofsubcutaneoushydropsoftheob
8、servationgroup(10.8%),theincidencerateofflapnecrosis(2.5%),totalamountofdrainedfluid（474mL）,andthepostoperativeextubationtime（4.5d）weresuperiortothecontrolgroup（17.5%,7.5%,638mL,6.5d）,thedifferenceswerestatisticallysignificant（卩[
