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.	李瑩, 楊俊蘭.乳腺癌內分泌治療聯用新型靶向藥物研究進展[J].解放軍醫學院學報, 2013, 34(10):1092-1094.
2.	石光鋒, 王曉霜, 崔慶, 等.乳腺癌根治術后3種包扎方法比較[J].中國普外基礎與臨床雜志, 2001, 8(5):312.
3.	李冬英.乳腺癌術后兩種負壓引流效果觀察[J].實用臨床醫學, 2003, 4(5):95-97.
4.	宋杏麗, 王鋼.單管或雙管引流對乳腺癌改良根治術后皮下積液影響的研究[J].中國現代醫藥雜志, 2013, 15(1):49-50.
5.	夏秀林, 劉瑞麗, 韓晨博.不同方法預防乳腺癌術后皮下積液療效的比較[J].現代腫瘤醫學, 2011, 19(10):2027-2029.
6.	徐雪東.乳腺癌改良根治術后皮下積液的預防和處理[J].中國腫瘤臨床與康復, 2013, 20(6):604-605.
7.	陳安杰, 王鶴令, 姚旭, 等.雙引流管負壓吸引在乳腺癌術后的應用[J].現代腫瘤醫學, 2012, 20(11):2291-2292.
8.	趙利平, 李曉勇, 李建, 等.乳腺癌術后皮瓣壞死及皮下積液的預防[J].現代腫瘤醫學, 2013, 21(1):100-102.
9.	沈鎮宙, 師英強.腫瘤外科手術學[M].南京:江蘇科學技術出版社, 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, 林賢平, 林明強, 等.超聲刀聯合止血粉減少乳腺癌改良根治術后皮下積液[J].中外醫療, 2013, 32(10):82, 84.
12.	徐穩深.兩種方法防治乳癌改良根治術后皮下積液的臨床對比分析[J].中國社區醫師:醫學專業, 2011, 16(16):142-143.
13.	田超, 李卉.新型超聲刀聯合腋窩處皮膚外固定在乳腺癌手術中的應用[J].中國普外基礎與臨床雜志, 2010, 17(12):1245-1248.
14.	田超, 李卉, 龍啟明, 等.腋窩處皮瓣外固定預防乳腺癌術后皮下積液的臨床應用[J].腫瘤預防與治療, 2011, 24(1):28-29.
15.	鄭向欣, 管小青, 吳驥, 等.防治乳腺癌術后皮下積液的方法改進:附204例報告[J].中國普通外科雜志, 2013, 22(5):564-568.
16.	張彥收, 焦俊琴, 卞曉麗, 等.可吸收止血海綿在乳腺癌改良根治術中應用的效果觀察[J].臨床外科雜志, 2012, 20(4):250-251.
17.	吳俊東, 黃文河, 莊業忠, 等.淋巴管結扎聯合醫用膠預防乳腺癌術后皮下積液分析[J].實用癌癥雜志, 2011, 26(3):271-273, 282.
18.	吳維敏, 余書勇, 尹俊峰, 等.醫用生物蛋白膠在乳腺癌改良根治術中的應用[J].中國普外基礎與臨床雜志, 2010, 17(10):1009.
19.	金科, 章遠江, 許健, 等.B超引導靜脈留置針持續引流在處理乳腺癌術后局部皮下積液中的應用[J].中國普外基礎與臨床雜志, 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.	吳建民, 丁克峰, 鄧甬川.乳腺癌手術皮內縫合加REDON負壓引流瓶的應用[J].中國腫瘤, 2003, 12(7):422-423.
22.	繆金透, 金宇, 董策.Drainobag真空負壓引流在甲狀腺外科術后的應用[J].中國中西醫結合外科雜志, 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. 李瑩, 楊俊蘭.乳腺癌內分泌治療聯用新型靶向藥物研究進展[J].解放軍醫學院學報, 2013, 34(10):1092-1094.
2. 石光鋒, 王曉霜, 崔慶, 等.乳腺癌根治術后3種包扎方法比較[J].中國普外基礎與臨床雜志, 2001, 8(5):312.
3. 李冬英.乳腺癌術后兩種負壓引流效果觀察[J].實用臨床醫學, 2003, 4(5):95-97.
4. 宋杏麗, 王鋼.單管或雙管引流對乳腺癌改良根治術后皮下積液影響的研究[J].中國現代醫藥雜志, 2013, 15(1):49-50.
5. 夏秀林, 劉瑞麗, 韓晨博.不同方法預防乳腺癌術后皮下積液療效的比較[J].現代腫瘤醫學, 2011, 19(10):2027-2029.
6. 徐雪東.乳腺癌改良根治術后皮下積液的預防和處理[J].中國腫瘤臨床與康復, 2013, 20(6):604-605.
7. 陳安杰, 王鶴令, 姚旭, 等.雙引流管負壓吸引在乳腺癌術后的應用[J].現代腫瘤醫學, 2012, 20(11):2291-2292.
8. 趙利平, 李曉勇, 李建, 等.乳腺癌術后皮瓣壞死及皮下積液的預防[J].現代腫瘤醫學, 2013, 21(1):100-102.
9. 沈鎮宙, 師英強.腫瘤外科手術學[M].南京:江蘇科學技術出版社, 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, 林賢平, 林明強, 等.超聲刀聯合止血粉減少乳腺癌改良根治術后皮下積液[J].中外醫療, 2013, 32(10):82, 84.
12. 徐穩深.兩種方法防治乳癌改良根治術后皮下積液的臨床對比分析[J].中國社區醫師:醫學專業, 2011, 16(16):142-143.
13. 田超, 李卉.新型超聲刀聯合腋窩處皮膚外固定在乳腺癌手術中的應用[J].中國普外基礎與臨床雜志, 2010, 17(12):1245-1248.
14. 田超, 李卉, 龍啟明, 等.腋窩處皮瓣外固定預防乳腺癌術后皮下積液的臨床應用[J].腫瘤預防與治療, 2011, 24(1):28-29.
15. 鄭向欣, 管小青, 吳驥, 等.防治乳腺癌術后皮下積液的方法改進:附204例報告[J].中國普通外科雜志, 2013, 22(5):564-568.
16. 張彥收, 焦俊琴, 卞曉麗, 等.可吸收止血海綿在乳腺癌改良根治術中應用的效果觀察[J].臨床外科雜志, 2012, 20(4):250-251.
17. 吳俊東, 黃文河, 莊業忠, 等.淋巴管結扎聯合醫用膠預防乳腺癌術后皮下積液分析[J].實用癌癥雜志, 2011, 26(3):271-273, 282.
18. 吳維敏, 余書勇, 尹俊峰, 等.醫用生物蛋白膠在乳腺癌改良根治術中的應用[J].中國普外基礎與臨床雜志, 2010, 17(10):1009.
19. 金科, 章遠江, 許健, 等.B超引導靜脈留置針持續引流在處理乳腺癌術后局部皮下積液中的應用[J].中國普外基礎與臨床雜志, 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. 吳建民, 丁克峰, 鄧甬川.乳腺癌手術皮內縫合加REDON負壓引流瓶的應用[J].中國腫瘤, 2003, 12(7):422-423.
22. 繆金透, 金宇, 董策.Drainobag真空負壓引流在甲狀腺外科術后的應用[J].中國中西醫結合外科雜志, 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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