Perkins S W, Williams J D, Macdonald K, Robinson E B
Meridian Facial Plastic Surgery Center, Indianapolis, Ind., USA.
Arch Otolaryngol Head Neck Surg. 1997 Jul;123(7):743-5. doi: 10.1001/archotol.1997.01900070087014.
To evaluate the rate of hematoma and seroma formation in a series of rhytidectomies performed with and without the use of intrawound vacuum drains.
Retrospective chart review of 222 consecutive face-lifts performed by a single surgeon using an identical surgical technique before and after the use of vacuum wound drains. The patients were divided into 2 groups of 111 patients each. Group 1 patients underwent surgery without drains, while group 2 patients had suction drains placed at the time of surgery.
The occurrence of seromas and hematomas within the first 24 hours after surgery.
In group 1, 41 patients (37%) developed seromas and 9 (8%) developed hematomas; the hematomas were small and were treated by aspiration alone. In group 2, 17 patients (15%) developed seromas and 8 (7%) developed hematomas. The decrease in the rate of seroma occurrence was statistically significant, while the decrease in hematoma formation did not reach statistical significance.
The use of intrawound vacuum drains during the first 24 hours after surgery significantly decreases the rate of seroma formation. The occurrence of hematomas is also reduced, but less dramatically.
评估在一系列除皱术中使用和不使用伤口内负压引流管时血肿和血清肿的形成率。
对一位外科医生在使用伤口负压引流管前后采用相同手术技术连续进行的222例面部提升手术进行回顾性图表审查。患者被分为两组，每组111例。第1组患者手术时不放置引流管，而第2组患者在手术时放置负压引流管。
术后24小时内血清肿和血肿的发生情况。
第1组中，41例患者（37%）出现血清肿，9例（8%）出现血肿；血肿较小，仅通过抽吸进行治疗。第2组中，17例患者（15%）出现血清肿，8例（7%）出现血肿。血清肿发生率的降低具有统计学意义，而血肿形成的减少未达到统计学意义。
术后24小时内使用伤口内负压引流管可显著降低血清肿的形成率。血肿的发生也有所减少，但程度较轻。
