Comparison of Efficacy Study of Simple Negative Pressure Drainage and It Combined with Chest Compression Bandaging after Radical Mastectomy for Breast Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 TANGTong , ZHENGLu , LIJia , QIANBo

Department of Breast Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, Anhui Province, China;

Corresponding author：

TANGTong, Email: tt20164@126.com

Keywords：

Modified radical mastectomy for breast cancer; Double tube negative pressure drainage; Subcutaneous effusion; Flap necrosis; Comfort

DOI：

10.7507/1007-9424.20140046

Video：

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Objective To compare the differences in preventing subcutaneous effusion, skin flap necrosis, and patient comfort between simple negative pressure drainage and negative pressure drainage combined with chest compression bandaging after radical mastectomy for breast cancer. Methods One hundred and ninety-six patients underwent radical mastectomy for breast cancer from January 2010 to December 2012 in this hospital were collected.The simple negative pressure drainage (SNPD group, n=84) and negative pressure drainage combined with chest compression bandaging (NPD+CB group, n=112) after radical mastectomy for breast cancer were used to prevent postoperative subcutaneous effusion.The postoperative complications, postoperative 3 d drainage volume, and patient comfort were compared in two groups. Results One hundred and ninety-six patients with breast cancer were females.The differences of general clinical data were not statistically significant in two groups (P > 0.05).The differences of chest wall mean extubation time, axillary mean extubation time, postoperative 3 d mean drainage volume, and incidences of subcutaneous effusion and skin flap necrosis were not statistically significant in two groups (P > 0.05).The rate of comfort satisfactory in the SNPD group was significantly higher than that in the NPD+CB group [76.2%(16/84) versus 22.3%(25/112), P < 0.001].The chemotherapy was not affected after operation in two groups. Conclusions Comparing with negative pressure drainage combined with chest compression bandaging, simple negative pressure drainage do not increase postoperative subcutaneous effusion and skin flap necrosis, but it greatly improves the patients satisfactory rate.

Citation： TANGTong, ZHENGLu, LIJia, QIANBo. Comparison of Efficacy Study of Simple Negative Pressure Drainage and It Combined with Chest Compression Bandaging after Radical Mastectomy for Breast Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(2): 202-206. doi: 10.7507/1007-9424.20140046 Copy

1.	李莹, 杨俊兰.乳腺癌内分泌治疗联用新型靶向药物研究进展[J].解放军医学院学报, 2013, 34(10):1092-1094.
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7.	陈安杰, 王鹤令, 姚旭, 等.双引流管负压吸引在乳腺癌术后的应用[J].现代肿瘤医学, 2012, 20(11):2291-2292.
8.	赵利平, 李晓勇, 李建, 等.乳腺癌术后皮瓣坏死及皮下积液的预防[J].现代肿瘤医学, 2013, 21(1):100-102.
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10.	Hashemi E, Kaviani A, Najafi M, et al.Seroma formation after surgery for breast cancer[J].World J Surg Oncol, 2004, 2(1):1-5.
11.	汪家航, 林贤平, 林明强, 等.超声刀联合止血粉减少乳腺癌改良根治术后皮下积液[J].中外医疗, 2013, 32(10):82, 84.
12.	徐稳深.两种方法防治乳癌改良根治术后皮下积液的临床对比分析[J].中国社区医师:医学专业, 2011, 16(16):142-143.
13.	田超, 李卉.新型超声刀联合腋窝处皮肤外固定在乳腺癌手术中的应用[J].中国普外基础与临床杂志, 2010, 17(12):1245-1248.
14.	田超, 李卉, 龙启明, 等.腋窝处皮瓣外固定预防乳腺癌术后皮下积液的临床应用[J].肿瘤预防与治疗, 2011, 24(1):28-29.
15.	郑向欣, 管小青, 吴骥, 等.防治乳腺癌术后皮下积液的方法改进:附204例报告[J].中国普通外科杂志, 2013, 22(5):564-568.
16.	张彦收, 焦俊琴, 卞晓丽, 等.可吸收止血海绵在乳腺癌改良根治术中应用的效果观察[J].临床外科杂志, 2012, 20(4):250-251.
17.	吴俊东, 黄文河, 庄业忠, 等.淋巴管结扎联合医用胶预防乳腺癌术后皮下积液分析[J].实用癌症杂志, 2011, 26(3):271-273, 282.
18.	吴维敏, 余书勇, 尹俊峰, 等.医用生物蛋白胶在乳腺癌改良根治术中的应用[J].中国普外基础与临床杂志, 2010, 17(10):1009.
19.	金科, 章远江, 许健, 等.B超引导静脉留置针持续引流在处理乳腺癌术后局部皮下积液中的应用[J].中国普外基础与临床杂志, 2013, 20(4):444-446.
20.	Lumachi F, Burelli P, Basso SM, et al.Usefulness of ultrasound scissors in reducing serous drainage after axillary dissection for breast cancer:a prospective randomized clinical study[J].Am Surg, 2004, 70(1):80-84.
21.	吴建民, 丁克峰, 邓甬川.乳腺癌手术皮内缝合加REDON负压引流瓶的应用[J].中国肿瘤, 2003, 12(7):422-423.
22.	缪金透, 金宇, 董策.Drainobag真空负压引流在甲状腺外科术后的应用[J].中国中西医结合外科杂志, 2009, 15(4):409-410.
23.	Chintamani, Singhal V, Singh J, et al.Half versus full vacuum suction drainage after modified radical mastectomy for breast cancer-a prospective randomized clinical trial (ISRCTN24484328)[J].BMC Cancer, 2005, 5:11.
24.	Okada N, Narita Y, Takada M, et al.Early removal of drains and the incidence of seroma after breast surgery[J].Breast Cancer, 2013 Mar 14.[Epub ahead of print].

1. 李莹, 杨俊兰.乳腺癌内分泌治疗联用新型靶向药物研究进展[J].解放军医学院学报, 2013, 34(10):1092-1094.
2. 石光锋, 王晓霜, 崔庆, 等.乳腺癌根治术后3种包扎方法比较[J].中国普外基础与临床杂志, 2001, 8(5):312.
3. 李冬英.乳腺癌术后两种负压引流效果观察[J].实用临床医学, 2003, 4(5):95-97.
4. 宋杏丽, 王钢.单管或双管引流对乳腺癌改良根治术后皮下积液影响的研究[J].中国现代医药杂志, 2013, 15(1):49-50.
5. 夏秀林, 刘瑞丽, 韩晨博.不同方法预防乳腺癌术后皮下积液疗效的比较[J].现代肿瘤医学, 2011, 19(10):2027-2029.
6. 徐雪东.乳腺癌改良根治术后皮下积液的预防和处理[J].中国肿瘤临床与康复, 2013, 20(6):604-605.
7. 陈安杰, 王鹤令, 姚旭, 等.双引流管负压吸引在乳腺癌术后的应用[J].现代肿瘤医学, 2012, 20(11):2291-2292.
8. 赵利平, 李晓勇, 李建, 等.乳腺癌术后皮瓣坏死及皮下积液的预防[J].现代肿瘤医学, 2013, 21(1):100-102.
9. 沈镇宙, 师英强.肿瘤外科手术学[M].南京:江苏科学技术出版社, 2001:160-161.
10. Hashemi E, Kaviani A, Najafi M, et al.Seroma formation after surgery for breast cancer[J].World J Surg Oncol, 2004, 2(1):1-5.
11. 汪家航, 林贤平, 林明强, 等.超声刀联合止血粉减少乳腺癌改良根治术后皮下积液[J].中外医疗, 2013, 32(10):82, 84.
12. 徐稳深.两种方法防治乳癌改良根治术后皮下积液的临床对比分析[J].中国社区医师:医学专业, 2011, 16(16):142-143.
13. 田超, 李卉.新型超声刀联合腋窝处皮肤外固定在乳腺癌手术中的应用[J].中国普外基础与临床杂志, 2010, 17(12):1245-1248.
14. 田超, 李卉, 龙启明, 等.腋窝处皮瓣外固定预防乳腺癌术后皮下积液的临床应用[J].肿瘤预防与治疗, 2011, 24(1):28-29.
15. 郑向欣, 管小青, 吴骥, 等.防治乳腺癌术后皮下积液的方法改进:附204例报告[J].中国普通外科杂志, 2013, 22(5):564-568.
16. 张彦收, 焦俊琴, 卞晓丽, 等.可吸收止血海绵在乳腺癌改良根治术中应用的效果观察[J].临床外科杂志, 2012, 20(4):250-251.
17. 吴俊东, 黄文河, 庄业忠, 等.淋巴管结扎联合医用胶预防乳腺癌术后皮下积液分析[J].实用癌症杂志, 2011, 26(3):271-273, 282.
18. 吴维敏, 余书勇, 尹俊峰, 等.医用生物蛋白胶在乳腺癌改良根治术中的应用[J].中国普外基础与临床杂志, 2010, 17(10):1009.
19. 金科, 章远江, 许健, 等.B超引导静脉留置针持续引流在处理乳腺癌术后局部皮下积液中的应用[J].中国普外基础与临床杂志, 2013, 20(4):444-446.
20. Lumachi F, Burelli P, Basso SM, et al.Usefulness of ultrasound scissors in reducing serous drainage after axillary dissection for breast cancer:a prospective randomized clinical study[J].Am Surg, 2004, 70(1):80-84.
21. 吴建民, 丁克峰, 邓甬川.乳腺癌手术皮内缝合加REDON负压引流瓶的应用[J].中国肿瘤, 2003, 12(7):422-423.
22. 缪金透, 金宇, 董策.Drainobag真空负压引流在甲状腺外科术后的应用[J].中国中西医结合外科杂志, 2009, 15(4):409-410.
23. Chintamani, Singhal V, Singh J, et al.Half versus full vacuum suction drainage after modified radical mastectomy for breast cancer-a prospective randomized clinical trial (ISRCTN24484328)[J].BMC Cancer, 2005, 5:11.
24. Okada N, Narita Y, Takada M, et al.Early removal of drains and the incidence of seroma after breast surgery[J].Breast Cancer, 2013 Mar 14.[Epub ahead of print].

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison of Efficacy Study of Simple Negative Pressure Drainage and It Combined with Chest Compression Bandaging after Radical Mastectomy for Breast Cancer

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