摘要
目的探讨乳腺癌术后皮下积液伴感染的治疗方法。方法回顾性分析2008年9月-2012年3月医院行改良根治术的615例乳腺癌患者的临床资料,其中术后皮瓣积液伴感染者117例,随机分为两组,分别给予积液处纱条填塞引流或引流管接负压瓶引流处理,同时给予抗菌药物控制感染。结果 117例均到达临床治愈,治愈率100.0%,皮瓣愈合良好,积液感染症状消失,纱条填塞引流组平均耗时11d,引流管接负压瓶引流组平均耗时6d。结论引流管接负压引流瓶处理方式费时短,且舒适度较大,纱条填塞者腋下辅料渗液多,易发异味,且费时较长,可适当推广引流管接负压引流瓶处理在乳腺癌术后皮瓣积液伴感染治疗的临床应用。
OBJECTIVE To explore the treatment of accumulative liquid of subcutaneous after modified radical mastectomy.METHODS The clinical data of 615 caner patients who underwent modified radical mastectomy from Sep 2008 to Mar 2012 were retrospectively analyzed,and 117 cases with accumulative liquid of subcutaneous complicated by infections were divided into two groups and were respectively treated with carbasus stuff draining and negative pressure draining,meanwhile,the patients were given the antibiotics to control the infections.RESULTS All of the patients were cured with the cure rate of 100.0%,the healing of flap recovered well,the infections disappeared,The carbasus stuff draining group consumed 11 days and the negative pressure draining group consumed 6 days.CONCLUSION The negative pressure draining consumes less period of time in treatment of accumulative liquid of subcutaneous after modified radical mastectomy and is with more comfort,while the carbasus stuff draining is with more axillary accessories exudation and is prone to produce peculiar smell as well as consume more period of time,thus the negative pressure draining is worthy of the clinical promotion in treatment of accumulative liquid of subcutaneous complicated by infections after modified radical mastectomy.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第3期568-569,共2页
Chinese Journal of Nosocomiology
关键词
乳腺癌改良根治术
皮下积液
感染
Modified radical mastectomy
Accumulative liquid of subcutaneous
Infection
