Procházka V, Závadová A, Žatecký J, Martínek L
Rozhl Chir. 2023 Winter;102(1):17-22. doi: 10.33699/PIS.2023.102.1.17-22.
Postoperative complications in patients with breast cancer delay the initiation of adjuvant therapy, prolong the length of hospitalization and reduce the patients' quality of life. Although their incidence can be influenced by many factors, the connection with the type of drain is insufficiently studied in the literature. The aim of this study was to assess whether there is an association between the use of a different drainage system and the occurrence of postoperative complications.
The data of 183 patients included in this retrospective study were collected from the information system of the Silesian Hospital in Opava and then statistically analyzed. These patients were divided into two groups according to the type of drain used - a Redon drain (active drainage) was used in 96 patients, and a capillary drain (passive drainage) was used in 87 patients. The incidence of seromas and hematomas, the duration of drainage and the amount of wound drainage were compared between the individual groups.
The incidence of postoperative hematomas was 22.92% in the group of patients with the Redon drain, and 10.34% in patients with the capillary drain (p=0.024). The incidence of postoperative seromas was comparable for the Redon drain (39.6%) or the capillary drain (35.6%) (p=0.945). No statistically significant differences were found in the drainage time or the amount of wound drainage.
A statistically significantly lower incidence of postoperative hematomas was observed when using a capillary drain compared to the use of a Redon drain in patients after breast cancer surgery. The drains were comparable with respect to seroma formation. None of the studied drains was significantly more beneficial in terms of the total drainage time and the total amount of wound drainage.
breast cancer, postoperative complications, drain, hematoma.
乳腺癌患者的术后并发症会延迟辅助治疗的开始，延长住院时间并降低患者的生活质量。尽管其发生率会受到多种因素影响，但文献中对其与引流类型的关联研究不足。本研究的目的是评估不同引流系统的使用与术后并发症的发生之间是否存在关联。
本回顾性研究纳入的183例患者的数据来自奥帕瓦西里西亚医院的信息系统，然后进行统计分析。这些患者根据所使用的引流类型分为两组——96例患者使用雷顿引流管（主动引流），87例患者使用毛细引流管（被动引流）。比较各小组之间血清肿和血肿的发生率、引流持续时间和伤口引流量。
使用雷顿引流管的患者组术后血肿发生率为22.92%，使用毛细引流管的患者组为10.34%（p = 0.024）。雷顿引流管（39.6%）和毛细引流管（35.6%）的术后血清肿发生率相当（p = 0.945）。在引流时间或伤口引流量方面未发现统计学显著差异。
与乳腺癌手术后使用雷顿引流管相比，使用毛细引流管时观察到术后血肿发生率在统计学上显著更低。在血清肿形成方面，两种引流管相当。就总引流时间和伤口总引流量而言，所研究的引流管均未显示出明显更有益的效果。
乳腺癌；术后并发症；引流管；血肿
