术后背阔肌复位对乳腺癌改良根治术术后引流量的影响

发布时间：2018-02-27 06:19

本文关键词： 手术方式乳腺癌改良根治术术后引流量背阔肌修复　出处：《医学与哲学(B)》2017年02期 　论文类型：期刊论文

【摘要】：探讨乳腺癌改良根治术术中缝合背阔肌前缘对术后引流量的影响。选取从2015年7月~2015年12月在笔者所在科室行乳腺癌改良根治术的患者60例,随机分为改进组(30例):在术中改良根治术完成后即时行背阔肌前缘与侧胸壁前锯肌的缝合;对照组仅行标准乳腺癌改良根治术(30例),分析比较两组术后引流量。结果显示改进组患者的中位总引流量(326.03ml)明显少于B组患者的中位总引流量(367.83ml)(P=0.015)。两组的术后引流量在第三天出现明显差异。改进组术后的中位拔管时间(5.66d)明显少于对照组(6.23d)(P=0.009)。缝合背阔肌前缘可以明显减少乳腺癌改良根治术术后的创面渗液,从而缩短患者带管时间,减少住院时间,减轻患者的经济负担和精神负担。
[Abstract]:To investigate the effect of suturing the anterior edge of latissimus dorsi on postoperative drainage during modified radical mastectomy, 60 patients who underwent modified radical mastectomy in our department from July 2015 to December 2015 were selected. 30 cases were randomly divided into two groups: the anterior margin of latissimus dorsi and the anterior serratus muscle of the lateral chest wall were sutured immediately after the modified radical operation. 30 patients in the control group were treated with standard modified radical mastectomy. The results showed that the median total drainage volume of the patients in the improved group was significantly lower than that in the group B (367.83 ml / 0.015). The postoperative drainage of the patients in the two groups was compared with that of the patients in the modified radical mastectomy group, and the results showed that the median total drainage volume of the patients in the improved group was significantly lower than that of the patients in group B. The mean extubation time in the modified group was significantly less than that in the control group (6.23 days). Suturing the anterior edge of latissimus dorsi could significantly reduce the effusion of wound surface after modified radical mastectomy. In order to shorten the time of patients with tube, reduce the length of hospital stay, reduce the economic burden and mental burden of patients.
【作者单位】：河北医科大学第四医院乳腺疾病诊治中心;
【分类号】：R737.9

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