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目的 探讨降低乳腺癌根治术后皮瓣下积液的方法。方法 对采用预防皮瓣下积液新方法的乳腺癌根治术病例与实施传统乳腺癌根治术病例进行对比研究。结果 乳腺癌根治术后皮瓣下积液率由原来的 17 6 %下降到 3 2 % ,新方法效果显著。结论 乳腺癌根治术后预防皮瓣下积液的关键是 :防止淋巴管瘘 ,合理使用电刀 ,置双引流管并负压吸引 ,胸带加压包扎。
Objective To investigate the method of reducing the effusion of the flap after radical operation of breast cancer. Methods A comparative study of cases of radical mastectomy and conventional radical mastectomy for the prevention of effusion under the flap was conducted. Results The rate of effusion of the flap after radical mastectomy decreased from 17 6% to 32%. The new method is effective. Conclusion The key to prevent the effusion under the flap after radical mastectomy is to prevent lymphatic fistula, rational use of electric knife, double drainage tube and vacuum suction, chest band compression bandage.