双管接负压吸引器引流与传统胸带加压包扎法在乳房下脂肪筋膜瓣保乳整形术中的应用比较

doi:10.3969/j.issn.1006-6233.2023.12.019

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Abstract Objective: To explore the application effects of double-tube negative pressure drainage and traditional chest bandage compression in breast-conserving reconstruction surgery with subcutaneous fat fascial flap. Methods: A total of 98 patients who underwent breast-conserving reconstruction surgery with subcutaneous fat fascial flap in our hospital from January 2020 to January 2023 were retrospectively selected. Patients were divided into two groups according to their treatment plans: the study group (n=49) received double-tube negative pressure drainage, and the control group (n=49) received traditional chest bandage compression drainage. Patients were followed up for 3 months, and postoperative chest tube removal time, axillary tube removal time, chest drainage volume, axillary drainage volume, FACT-B score, Brief Pain Inventory (BPI) score were recorded. Postoperative flap necrosis, occurrence of lymphedema, and comfort scores were observed. Results: There was no statistically significant difference in chest tube removal time and axillary tube removal time between the two groups (P>0.05). The chest drainage volume and axillary drainage volume in the study group were lower than those in the control group (P<0.05). There was no statistically significant difference in FACT-B and BPI scores before surgery between the two groups (P>0.05). The change in FACT-B and BPI scores before and after surgery in the study group was greater than that in the control group (P<0.05). Compared with the control group, the study group had a lower incidence of flap necrosis, and the incidence of high-grade flap necrosis was lower than that in the control group (P<0.05). There was no statistically significant difference in the incidence and severity of lymphedema between the two groups (P>0.05). There was no statistically significant difference in comfort scores between the two groups before surgery (P>0.05). Compared with the control group, the study group had higher comfort scores at 1 day, 1 month, and 3 months after surgery (P<0.05). Conclusion: Double-tube negative pressure drainage in breast-conserving reconstruction surgery with subcutaneous fat fascial flap is superior to traditional chest bandage compression in terms of drainage efficiency and pain relief. It improves comfort and quality of life, reduces postoperative flap necrosis, and minimizes complications such as lymphedema.

Key words： Double-tube negative pressure drainage Traditional chest bandage compression dressing Breast conserving plastic surgery with submammary fatty fascia flap Postoperative diversion flow Flap necrosis rate

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	WANG Qiao
	BIAN Lina
	QIU Huimin

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WANG Qiao,BIAN Lina,QIU Huimin. Comparison of the Application of Double-Tube Negative Pressure Drainage and Traditional Chest Bandage Compression in Breast-Conserving Reconstruction Surgery with Subcutaneous Fat Fascial Flap[J]. HeBei Med, 2023, 29(12): 2039-2043.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.12.019 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I12/2039

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