Schuijtvlot M, Sahu A K, Cawthorn S J
The Breast Care Centre, Frenchay Hospital, North Bristol NHS Trust, Frenchay, Bristol BS16 1LE, UK.
Breast. 2002 Feb;11(1):94-6. doi: 10.1054/brst.2001.0366.
A prospective audit of seroma formation following breast-conserving surgery for carcinoma with axillary dissection was carried out. Ninety-seven consecutive patients were studied. The post-operative formation of fluid within the axilla (seroma) was recorded on a computerised data collection system. From August 1998 to December 1998, no drain or other axillary restriction was used. The seroma rate in 27 of these patients who had at least seven nodes in the axillary sample was 14/27 (52%). From December 1998 to June 1999, an additional suture was inserted between the axillary skin and the chest wall (buttress suture). This was designed to obliterate the axillary space after dissection. There were 37 patients with seven or more nodes in the axillary dissection in this study and of these, nine patients developed a seroma (24%) (P=0.007). The use of the buttress suture reduces the seroma rate following axillary dissection without axillary drainage.
对行保乳手术加腋窝清扫术治疗乳腺癌后的血清肿形成情况进行了前瞻性审计。研究了97例连续患者。腋窝内液体（血清肿）的术后形成情况记录在计算机数据收集系统中。1998年8月至1998年12月，未使用引流管或其他腋窝限制措施。在腋窝样本中至少有7个淋巴结的27例患者中，血清肿发生率为14/27（52%）。1998年12月至1999年6月，在腋窝皮肤和胸壁之间额外插入了一根缝线（支撑缝线）。其目的是在清扫术后消除腋窝间隙。本研究中有37例腋窝清扫中有7个或更多淋巴结的患者，其中9例发生了血清肿（24%）（P=0.007）。支撑缝线的使用降低了无腋窝引流的腋窝清扫术后血清肿的发生率。
