摘要
目的:探讨电刀在乳腺癌根治术中的应用。方法:对我院2001年11月至2005年11月乳腺癌改良根治术的病人105例,采用随机分组的方法,分为电刀组和手术刀组,观察手术时间、术中出血量、术后24 h引流量、放置引流管的时间以及术后并发症皮瓣坏死、皮下积液指标。结果:电刀组手术时间较手术刀组有明显缩短(P<0.05)。术中平均出血量电刀组较手术刀组显著减少(P<0.01)。电刀组术后24 h引流量较手术刀组有显著减少(P<0.01)。电刀组引流管放置时间较手术刀组明显缩短(P<0.01),电刀组和手术刀组术后皮瓣坏死和皮下积液均无统计学差异。结论:电刀在乳腺癌根治术中,手术时间明显缩短,术中出血量显著减少,术中视野清晰,术后引流量也明显减少,术后皮下积液和皮瓣坏死未见增多。电刀在乳腺癌根治术中操作方便、简单、安全可行。
Objective： To explore the use of electrosurgery in radical mastectomy. Methods： Modified radical mastectomy was performed in 105 cases with breast cancer between Nov. 2001 and Nov. 2005. Patients were divided into two groups： Electrosurgery group （n = 58）, the operations were performed by eletctrosurgery . Scalpel group（n =47） ,the operations were performed by scalpel. Age and condition of the two groups were similar. Major indexes to observe and compare included： operative time, the estimated bleeding during surgery, draining volume in the postoperative 24 hours, draining time and postoperative complications such as necrosis of skin flap and subcutaneous hydrops. Results： Operative time of the electrosurgery group was less than scalpel group, bleeding volume of the electrosurgery group was less than scalpel group, drain volume in the first 24 hours postoperatively of the electrosurgery group was obviously less than the scalpel group, and their differences were significant. There were no differences in skip flap necrosis and subcutaneous hydrops. Conclusion： Using electrosurgery in modified radical mastectomy can remarkable save operative time , reduce bleeding volume during surgery and drain volume postoperatively. The incidences of skin flap necrosis and subcutaneous hydrops lend to less. The electrosurgery is a comfortable,simple ,safe operative method.
出处
《现代临床医学》
2006年第3期205-206,共2页
Journal of Modern Clinical Medicine
关键词
乳腺癌根治术
电刀
手术刀
radical mastectomy
electrosurgery
scalpel
