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[目的]探讨不同手术方式对乳腺癌改良根治术后皮下积液产生的影响。[方法]随机将240例拟行乳腺癌改良根治术的患者分为4组,分离皮瓣方法分别使用电刀和皮刀,再根据是否使用生物胶将病人分为皮刀组、皮刀+生物胶组、电刀组、电刀+生物胶组,观察术后d1引流量、术后引流液总量、皮下积液、皮瓣坏死等情况分析皮瓣分离方法和纤维蛋白胶对皮下积液产生的影响。[结果]引流量电刀组少于皮刀组,其中电刀组v.s皮刀组,电刀+FC组v.s皮刀+FC组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皮下积液可通过减少电刀游离皮瓣、创面喷涂FG等措施有效预防。
[Objective] To investigate the effect of different surgical methods on subcutaneous effusion after modified radical mastectomy for breast cancer. [Methods] 240 patients who underwent modified radical mastectomy were randomly divided into 4 groups. The methods of separating the flaps were divided into electric knife and dermatome, and then the patients were divided into skin-knife group, dermatome + Bio-plastic group, electric knife group, electric knife + bio-plastic group, observed postoperative d1 drainage volume, total drainage fluid, subcutaneous fluid, flap necrosis analysis of flap separation methods and fibrin glue on the subcutaneous Effect of liquid production. [Results] The drainage volume of the electrosurgical unit was less than that of the dermatome group, the difference was statistically significant (P <0.05). [Conclusion] Subcutaneous fluid after radical mastectomy for breast cancer can be effectively prevented by reducing the free flap of electric knife and FG by wound dressing.