目的

探讨手术治疗乳腺癌术后并发顽固性血清肿的治疗价值。

方法

回顾性分析1998 年1 月至2008年9 月本科收治28 例乳腺癌术后并发顽固性血清肿的临床资料,其中手术治疗组13 例,常规治疗组15 例。 观察两种治疗方法的拔管时间、日均引流量和总引流量; 拔管时间采用两样本比较秩和检验、日均引流量和总引流量采用两样本独立t 检验。

结果

手术治疗组拔管时间为41.07 ±2.59 d ,常规治疗组拔管时间为59.13 ±11.04 d,差异有统计学意义(T=91.5,P＜0.05)。 手术治疗组日平均引流量为39.84 ±4.21 ml,常规治疗组日平均引流量则为37.86 ±2.58 ml,差异无统计学意义(t=1.52 ,P＞0.05)。 手术治疗组总引流量为1635. 61 ± 186. 70 ml,常规治疗组则为2232. 05 ±410.05 ml,差异有统计学意义(t = - 5. 06,P＜0. 05)。

结论

手术治疗乳腺癌术后顽固性血清肿具有明显缩短拔管时间,减少体液丧失的优点。

Objective

To explore the efficacy of surgical treatment of refractory seroma from breast cancer surgery.

Methods

From January 1998 to September 2008,28 cases of refractory seroma after breast cancer surgery treated in our department were retrospectively analyzed. Among the 28 cases, 13 received surgical treatment and 15 received routine therapy. The extubation time, the mean drainage volume and the overall drainage volume were observed. The extubation time was evaluated using the rank test; the mean drainage volume and the overall drainage volume were evaluated using two independent samples t-test.

Results

The mean extubation time was 41.07 ±2.59 days for the operative treatment,and 59.13 ±11.04 days for the routine therapy; there was a significant difference between the two methods (T =91.5,P＜0.05 ). The mean drainage volume was 39.84 ml/d for the operative treatment and 37.86 ml/d for the routine therapy; no significant difference was observed between them(t=1.52 ,P＞0.05).The significant difference(t= -5.06,P＜0.05)for the overall drainage volume was observed between the operative treatment (1635. 61 ±186.70 ml) and the routine therapy (2232.05 ±410.05 ml).

Conclusion

Surgical treatment of refractory seroma from breast cancer surgery can shorten extubation time and lessen body fluid loss.