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目的比较多侧孔静脉留置针负压吸引和传统注射器抽吸后加压包扎治疗乳腺癌改良根治术后皮下积液的临床疗效。方法将41例乳腺癌改良根治术后皮下积液患者按手术时间随机分为两组:多侧孔静脉留置针负压吸引组22例和注射器抽吸局部加压包扎组19例。观察两组患者的皮下积液治愈时间和累计皮下积液量。结果静脉留置针组平均皮下积液治愈时间为(4.53±1.35)d明显短于注射器抽吸组(6.46±2.25)d,差异有统计学意义(t=3.327,P<0.01);静脉留置针组平均累计皮下积液量(24.35±7.97)ml少于注射器抽吸组(30.89±9.68)ml,两组间差别有统计学意义(t=2.342,P<0.05)。结论多侧孔静脉留置针负压吸引是一种有效治疗乳腺癌改良根治术后皮下积液的方法,能明显缩短治疗时间,且创伤小不增加患者痛苦,易为患者接受。
Objective To compare the clinical effects of subcutaneous venous drainage after multi-lateral venous indwelling needle suction and traditional syringe suction and bandaging after modified radical mastectomy. Methods Forty-one patients with subcutaneous effusion after radical mastectomy for breast cancer were randomly divided into two groups according to the operation time: 22 cases of negative pressure indwelling needle of multi-lateral venule and 19 cases of local compression bandage by syringe suction. Two groups of patients were observed subcutaneous fluid cure time and cumulative subcutaneous fluid volume. Results The average duration of subcutaneous effusion in the intravenous catheterization group was (4.53 ± 1.35) d, which was significantly shorter than that in the aspiration group (6.46 ± 2.25) d, with significant difference (t = 3.327, P <0.01) The mean accumulated subcutaneous fluid volume (24.35 ± 7.97) ml was less than that of the aspiration group (30.89 ± 9.68) ml, the difference between the two groups was statistically significant (t = 2.342, P <0.05). Conclusions Multi-lateral venous indwelling needle negative pressure suction is a effective treatment of subcutaneous effusion after radical mastectomy of breast cancer, which can shorten the treatment time significantly. The small trauma does not increase the patient’s pain and is easy for patients to accept.