加压反包扎法预防-治疗术后淋巴漏.doc

加压反包扎法预防-治疗术后淋巴漏.doc:..加压反包扎法预防\治疗术后淋巴漏[摘要]目的探讨加压反包扎法预防及治疗体表手术后淋巴漏的临床疗效。方法187例体表肿瘤手术后患者采用不同包扎方法,前100例行常规包扎,后87例行加压反包扎。结果术后主要并发症皮下积液(淋巴漏)发生25例,其中常规组21例,加压反包扎组4例,常规组淋巴漏愈合时间平均(±)d,加压反包扎组平均愈合时间(±)d,两组术后淋巴漏发生率及淋巴漏愈合时间均有显著差异。结论手术后采用局部加压反包扎法包扎,能减少主要并发症淋巴漏的发生,促进淋巴漏愈合,提高手术质量。[关键词]淋巴漏;外科手术;加压反包扎[中图分类号]R733[文献标识码]A[文章编号]1673-9701(2009)33-135-02ClinicalApplicationofAnti-bandagePressuretoPreventionandTreatLymphaticLeakageCHENShouwanWANGHeHEXuedongTheDepartmentofBurnsandPlasticSurgeryofthePeople'sHospitalofJianyangCity,Jianyang641400,China[Abstract]ObjectiveTostudytheclinicalcurativeeffectofanti-,100casesdressedbyroutine,pressionbandaging・plicationsofpostoperative subcutaneousfluid(lymphaticleakage)occurredin25cases,ofwhich21casesoftheconventionalgroup,4casesofanti-dressing,theaveragehealingtimeoflymphaticleakageintheconventionalgroupwas(±)days,andtheanti・pressuregroupwas(±1・8)days,-bandagepressurebandageaftertheoperation,plicationsoflymphaticleakageandpromotehealingoflymphaticleakageandimprovethequalityofsurgery・[Keywords]Lymphaticleakage;Surgery;Anti・ba