Inwang R, Hamed H, Chaudary M A, Fentiman I S
Clinical Oncology Unit, Guy's Hospital, London.
Ann R Coll Surg Engl. 1991 Sep;73(5):326-8.
A controlled trial has been conducted to determine the safety of early drain removal after axillary clearance as part of conservation treatment in early breast cancer. A total of 84 patients was entered into the study of whom 41 had the drain removed after 5 days, irrespective of the volume of fluid draining, and 43 had drains removed when fluid was less than 20 ml per day. Of the standard drainage group, 28% required percutaneous aspiration of lymph because of subsequent accumulation, compared with 49% of the short-term drainage group. Early drain removal was not associated with any increase in wound complications nor in cosmetic outcome, but did enable earlier discharge of patients from hospital.
一项对照试验已开展，以确定在早期乳腺癌保乳治疗中腋窝清扫术后早期拔除引流管的安全性。共有84例患者纳入该研究，其中41例在5天后拔除引流管，无论引流量多少，43例在每日引流量小于20 ml时拔除引流管。在标准引流组中，28%的患者因随后的积液需要经皮抽吸淋巴液，而短期引流组为49%。早期拔除引流管与伤口并发症或美容效果的增加无关，但确实能使患者更早出院。
