Kontos M, Petrou A, Prassas E, Tsigris C, Roy P, Trafalis D, Bastounis E, Karamanakos P
Hedley Atkins Breast Unit, Guy's Hospital, London, UK.
J BUON. 2008 Jan-Mar;13(1):65-7.
Pressure dressing (PD) after modified radical mastectomy (MRM) for breast cancer is investigated here as an easy-to-apply method to reduce seroma formation and subsequent need for clinical care.
Two hundred mastectomized patients who were treated with PD on the skin flaps and the axilla immediately postoperatively (group A) were compared with a similar non-PD group (B). Surgical technique and perioperative care were the same. Drains were removed when drain output was reduced to 30 ml per day, or on postoperative day 8 regardless of output.
Mean time with drains kept in situ was 4.9 and 5.5 days in group A and B, respectively. Five (2.5%) patients in group A and 16 (8%) in group B developed seromas after the removal of the drains. In total, 9 seroma needle aspirations were performed in group A and 26 in group B. Differences were statistically significant.
Our findings are supportive of PD as an effective, cheap and easy-to-apply method for the reduction (a) of the time with drains in situ after MRM, (b) of the number of patients developing seromas and (c) of the seroma aspirations. This can potentially reduce further complications, needed medical care and cut expenditure.
本文研究乳腺癌改良根治术（MRM）后使用压力敷料（PD）作为一种易于应用的方法，以减少血清肿形成及后续临床护理需求。
将术后立即在皮瓣和腋窝处使用PD治疗的200例乳房切除患者（A组）与类似的非PD组（B组）进行比较。手术技术和围手术期护理相同。当引流量减少至每天30 ml或术后第8天（无论引流量多少）时拔除引流管。
A组和B组引流管留置的平均时间分别为4.9天和5.5天。A组有5例（2.5%）患者和B组有16例（8%）患者在拔除引流管后出现血清肿。A组共进行了9次血清肿穿刺抽吸，B组进行了26次。差异具有统计学意义。
我们的研究结果支持PD作为一种有效、廉价且易于应用的方法，可（a）减少MRM后引流管留置时间，（b）减少出现血清肿的患者数量，（c）减少血清肿穿刺抽吸次数。这有可能减少进一步的并发症、所需的医疗护理并降低费用。
