Menton M, Roemer V M
Frauenklinik, Universität Tübingen.
Fortschr Med. 1990 Jun 20;108(18):350-2.
Although seromas represent the most frequent postoperative complication of mastectomy, little attention has been paid in the literature to etiologic factors or therapy. In the present paper, a modified drainage technique is described which reduced the incidence of seroma formation after total mastectomy with removal of the axillary lymph nodes from 50% to 20.2%. Seroma formation was associated with drainage of significantly higher amounts of fluid. Seroma formation generally began on the 7th day after operation, reached a peak rate of growth on the 8th day, and subsequently slowed continuously up to the 16th day after operations. Age was revealed to be a very important etiologic factor: the frequency of seroma formation increasing with age.
尽管血清肿是乳房切除术最常见的术后并发症，但文献中对其病因或治疗关注甚少。本文描述了一种改良的引流技术，该技术将全乳切除并清扫腋窝淋巴结术后血清肿的发生率从50%降至20.2%。血清肿的形成与引流出显著更多的液体有关。血清肿通常在术后第7天开始形成，在第8天达到最高生长速率，随后持续减缓直至术后第16天。年龄被证明是一个非常重要的病因因素：血清肿的发生率随年龄增长而增加。
