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目的评价乳腺癌术后防治伤口皮下积液方法的效果。方法对 1996～ 1998年我科采用伤口负压引流装置和 1999～ 2 0 0 1年改进引流方法 (伤口放置多根引流管和腋下加压缝合 )防治伤口皮下积液的情况进行比较。结果采用负压引流装置 93例患者中 ,2 8例发生皮下积液 (3 0 .1% )。改进引流方法 110例患者中 ,5例发生皮下积液 (4 .5 % )。结论改进引流方法对防治皮下积液的效果优于负压引流装置方法。
Objective To evaluate the effect of postoperative wound prevention and treatment of subcutaneous effusion on breast cancer. Methods From 1996 to 1998, we compared the situation of subcutaneous effusion in our department with negative pressure drainage device and improved drainage method from 1999 to 2001 (multiple drainage tubes placed under the wound and armpit compression suture). Results In 93 patients with negative pressure drainage device, 28 cases developed subcutaneous fluid (30.1%). Among the 110 patients who improved drainage, subcutaneous fluid was found in 5 (4.5%). Conclusion The improved drainage method is better than negative drainage device in preventing and treating subcutaneous effusion.