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目的总结静脉留置针自制负压系统在乳腺癌术后皮下积液治疗中的应用体会。方法乳腺癌改良根治术后出现皮下积液患者113,根据处理方法不同分成传统抽液组、切开置管组和自制负压引流组,观察3组患者不适症状发生率、积液愈合时间、换药频次及操作时间。结果自制负压引流组无不适症状发生率、积液愈合时间、换药频次及操作时间分别为80.0%、(9.16±3.10)天、(2.73±0.69)次和(10.36±2.45)分钟,传统抽液组分别为33.3%、(19.0±13.0)天、(6.40±1.66)次和(17.56±2.22)分钟,两组比较差异有统计学意义(P<0.05)。切开置管组无不适症状发生率、积液愈合时间、换药频次及操作时间分别为62.5%、(9.31±3.26)天、(3.34±0.90)次和(10.38±2.47)分钟,自制负压引流组与切开置管组比较,差异无统计学意义(P>0.05)。结论对乳腺癌术后出现的皮下积液,静脉留置针自制负压系统引流简单易行,治疗效果确切,痛苦小、易于患者接受。
Objective To summarize the application of intravenous indwelling needle self-made negative pressure system in the treatment of postoperative subcutaneous effusion of breast cancer. Methods Patients with subcutaneous effusion after modified radical mastectomy for breast cancer were divided into three groups according to different treatment methods. The catheterization group and self-made negative pressure drainage group were used to observe the incidence of discomfort, healing time, Dressing frequency and operation time. Results The self-made negative pressure drainage group had no symptoms, incidence of effusion, frequency of dressing change and operation time were 80.0%, 9.16 ± 3.10 days, 2.73 ± 0.69 and 10.36 ± 2.45 minutes, respectively There was significant difference between the two groups (P <0.05), 33.3% (19.0 ± 13.0) days, (6.40 ± 1.66) and (17.56 ± 2.22) minutes respectively. There was no symptom onset, healing time, frequency of dressing change and operation time were 62.5% (9.31 ± 3.26) days, (3.34 ± 0.90) days and (10.38 ± 2.47) minutes, respectively There was no significant difference between pressure drainage group and incision tube group (P> 0.05). Conclusion The postoperative subcutaneous effusion of breast cancer, venous indwelling needle self-made negative pressure drainage system is simple and easy, the treatment effect is exact, little pain, easy for patients to accept.