west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "皮下积液" 8 results
  • Application of Ultracision Harmonic Scalpel and Skin Flap in Axillary Fossa External Fixation on Breast Cancer Operation . 

    Objective To study the role of ultracision harmonic scalpel and skin flap in axillary fossa external fixation in operation of breast cancer. Methods One hundred and sixty-six patients with breast cancer were included in this study between May 2009 and November 2009. Combined group (n=51) applied ultracision harmonic scalpel combined with skin flap external fixation. External fixation group (n=52) used the skill of skin flap external fixation. Routine group included 63 patients. Operative time, accidental injury during operation, volume of bleed and drainage, time of drainage, detection amount of lymph node, and complications such like subcutaneous fluidity were observed and recorded. Results The operative time and detection amount of lymph node were not different among three groups (Pgt;0.05). The volume of bleed in combined group was less than that in other groups (Plt;0.05). The volume of drainage and the time of drainage were decreased or shorten by turns from routine group, external fixation group to combined group (Plt;0.05). The incidence rate of subcutaneous fluidity in combined group was lower than that in routine group (Plt;0.05). Conclusions Using ultracision harmonic scalpel in operation of breast cancer can remarkably reduce the volume of bleed and drain postoperatively. Ultracision harmonic scalpel combined with skin flap external fixation is safety and can reduce the incidence rate of subcutaneous fluidity, thus can be applied widely in breast cancer operation.

    Release date:2016-09-08 10:49 Export PDF Favorites Scan
  • 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

    目的 探讨B超引导静脉留置针持续引流在乳腺癌术后局部皮下积液治疗中的应用及优势。方法 回顾性分析笔者所在科室2001~2011年期间113例乳腺癌改良根治术后出现局部皮下积液患者的临床资料,根据处理方法不同分成穿刺抽液组和静脉留置针持续引流组,观察2组的治疗结果。结果 对乳腺癌术后局部皮下积液行B超引导静脉留置针持续引流可缩短治疗时间,减少出血、感染等并发症。结论 对乳腺癌术后出现的局部皮下积液,B超引导静脉留置针持续引流方法简单易行,治疗效果确切,患者痛苦小、易于接受,具有一定的应用价值。

    Release date:2016-09-08 10:25 Export PDF Favorites Scan
  • 腰大池置管持续外引流治疗开颅术后皮下积液的护理体会

    目的探讨腰大池置管持续外引流治疗开颅术后皮下积液的护理要点。 方法回顾性分析2013年4月-2014年3月收治的50例腰大池置管外引流治疗开颅术后皮下积液患者的临床资料,置管引流期间出现的护理问题及其处理方法,评价护理效果。 结果50例患者中,31例皮下积液治愈顺利拔管;8例引流管堵塞,被迫拔管后再次置管;1例引流不畅,经5 mL空针适度抽吸后通畅;2例引流管脱出再次置管;3例穿刺点感染,被迫拔管,感染控制后再次置管;3例脑脊液从引流管壁外漏,缝合后脑脊液未再漏;2例出现低颅压性头痛,经抬高引流管,控制脑脊液流速,头痛缓解。所有患者经相应处理后皮下积液均治愈。 结论腰大池置管持续外引流是治疗开颅术后皮下积液的有效方法。加强外引流管的护理,确保外引流管通畅是有效治疗开颅术后皮下积液的关键。

    Release date: Export PDF Favorites Scan
  • Comparison of Efficacy Study of Simple Negative Pressure Drainage and It Combined with Chest Compression Bandaging after Radical Mastectomy for Breast Cancer

    ObjectiveTo 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. MethodsOne 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. ResultsOne 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. ConclusionsComparing 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.

    Release date: Export PDF Favorites Scan
  • Curative Effect Observation of Thrombin in Treatment of Subcutaneous Effusion Following Radical Resection of Breast Cancer

    ObjectiveTo explore the efficacy of thrombin in treatment of subcutaneous effusion after radical resection of breast cancer. MethodsOne hundred and ninety patients underwent radical resection of breast cancer from July 2008 to July 2013 in this hospital were divided into postoperative observation group and postoperative control group according to the operation time. A daily injection of thrombin by drainage tube was performed on day 3 after operation in the postoperative observation group, the negative pressure drainage only was performed in the postoperative control group. The drainage volume in 72 h after operation, time of extubation, cases of subcutaneous effusion were counted after operation. Then the patients with subcutaneous effusion were divided into subcutaneous effusion observation group and subcutaneous effusion control group according to the time of extubation, the thrombin was injected into cavity after pumping subcutaneous effusion with pressing and dressing in the subcutaneous effusion observation group and only pressed after pumping subcutaneous effusion in the subcutaneous effusion control group, respectively. The healing time of subcutaneous effusion was counted in these two groups. ResultsCompared with the postoperative control group, the drainage volume in 72 h after operation was less(P < 0.001), the time of extubation was earlier(P < 0.001), the rate of subcutaneous effusion was lower(P < 0.05), color of drainage fluid on day 2 after mastectomy was lighter(P < 0.001)in the postoperative observation group. Compared with subcutaneous effusion control group, when subcutaneous effusion was 20-50 mL or > 50 mL, the healing time of subcutaneous effusion was significantly shorter in the subcutaneous effusion observation group(P < 0.05). ConclusionsInjecting thrombin by drainage tube after operation can reduce the drainage volume, decrease the rate of subcutaneous liquid, and shorten the time of extubation. Injecting thrombin into cavity of subcutaneous liquid can shorten the healing time of patients with middle and large subcutaneous effusions after radical resection of breast cancer.

    Release date: Export PDF Favorites Scan
  • 乳腺癌改良根治术后皮下积液与皮瓣坏死的原因及防治探讨

    目的探讨乳腺癌改良根治术后皮下积液与皮瓣坏死的原因及防治措施。 方法回顾性分析120例行乳腺癌改良根治术患者的临床资料。 结果120例术后发生皮下积液20例,发生率为16.7%;发生皮瓣坏死25例,发生率为20.8%。术中操作粗糙、皮瓣分离厚度薄、皮瓣张力过高以及加压包扎压力不均是乳腺癌改良根治术后皮下积液和皮瓣坏死的危险因素(P<0.05)。 结论术中规范精细操作,尽可能避免不必要的损伤,皮瓣薄厚均匀一致,以及加压包扎压力适中,是减少乳腺癌改良根治术后皮下积液及皮瓣坏死发生的有效方法。

    Release date: Export PDF Favorites Scan
  • 超声刀预防乳腺癌患者术后皮下积液临床效果观察

    目的探讨乳腺癌术中应用超声刀(UAS)行腋窝淋巴结清扫预防术后皮下积液的临床效果。 方法回顾性分析2012年9月至2015年1月期间哈尔滨医科大学附属第一医院收治的200例乳腺癌患者的临床资料,200例患者均行乳腺癌改良根治手术,其中100例患者应用UAS行腋窝淋巴结清扫(UAS组),另外100例患者应用电刀(EI)行腋窝淋巴结清扫(EI组)。比较2组患者术后3 d引流管引出量和术后皮下积液的发生情况。 结果UAS组术后3 d引流管引出量及皮下积液发生率明显较EI组少或低(P<0.05)。 结论乳腺癌手术中应用UAS行腋窝淋巴结清扫可明显减少患者术后皮下积液的发生,值得临床推广应用。

    Release date: Export PDF Favorites Scan
  • Observation on the effect of pseudomonas aeruginosa preparation in treating refractory seroma after breast cancer surgery

    ObjectiveTo observe the effectiveness and safety of pseudomonas aeruginosa preparation in treating refractory seroma after breast cancer surgery.MethodsA total of 76 patients with refractory seroma after breast cancer surgery who underwent surgery from October 2018 to August 2019 in our hospital were selected. The subjects were randomly divided into two groups. The patients in the control group (n=36) adopted negative pressure drainage connected with indwelling needle in the lower position of the seroma chamber; on the basis, patients in the experimental group (n=400) were injected with pseudomonas aeruginosa preparation into the seroma chamber. The drainage time, total drainage volume, recurrence rate, and incidence of complications of the two groups were compared.ResultsThere were 4 cases in the experimental group and 3 cases in the control group were lost followed-up, so only 69 cases enrolled in data analysis. The drainage time, total drainage volume, and the recurrence rate of the experimental group were all shorter or less than those of the control group (P<0.05). But there was no significant difference in the incidence of complications between the experimental group and the control group (P>0.05), such as fever, inflamed skin, and infection of incision.ConclusionPseudomonas aeruginosa preparation is an effective treatment for refractory seroma after breast cancer surgery, which can shorten the drainage time and promote wound healing.

    Release date:2020-03-30 08:25 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content