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目的:观察可吸收性止血纱布(商品名:泰绫)及明胶海绵用于乳腺癌改良根治术的止血效果及其对引流量及拔管时间的影响。方法:将180例准备接受乳腺癌改良根治术的患者,随机分为泰绫组、明胶海绵组和对照组,每组各60例,术后分别给予泰绫、明胶海绵及空白对照处理,记录和比较两组术后第1、2、3天的引流量、引流液红细胞计数、总引流量及拔管时间。结果:与对照组比较,泰绫组、明胶海绵组术后1、2、3天的引流量均显著减少、引流液红细胞计数、总引流量均明显减少且拔管时间显著缩短,差别均有统计学意义(P<0.05)。与明胶海绵组相比,泰绫组术后1、2、3天引流量、引流液红细胞计数、总引流量及拔管时间亦显著减少或缩短,差别均有统计学意义(P<0.05)。结论:泰绫及明胶海绵在乳腺癌改良根治术后有较好的止血效果,减少了术后出血、渗血、皮下积液,且泰绫较明胶海绵效果更优。
Objective: To observe the hemostatic effects of resorbable hemostatic gauze (trade name: Ta-ling) and gelatin sponge for modified radical mastectomy of breast cancer and its effect on drainage and extubation time. Methods: A total of 180 patients undergoing modified radical mastectomy for breast cancer were randomly divided into Ta-Ling group, gelatin sponge group and control group, 60 cases in each group. After treatment, they were treated with Ta-ling, gelatin sponge and blank control, respectively. The drainage volume, draining fluid red blood cell count, total drainage and extubation time were compared between the two groups. Results: Compared with the control group, the tailang group and gelatin sponge group had a significant decrease in the drainage volume at 1, 2, and 3 days after operation, and the erythrocyte count and total drainage of the drainage fluid decreased significantly and the extubation time significantly shortened Statistical significance (P <0.05). Compared with the gelatin sponge group, the drainage volume, draining fluid red blood cell count, total drainage volume and extubation time in the Taian group were significantly decreased or shortened at 1,2,3 days after operation (P <0.05) . Conclusion: Tailed damask and gelatin sponge have better hemostatic effect after modified radical mastectomy of breast cancer, reducing postoperative bleeding, bleeding and subcutaneous effusion, and the effect of Ta Ling on gelatin sponge is better.