[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(20.6±2.2)d,加压反包扎组平均愈合时间(10.4±1.8)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)33-135-02

    Clinical Application of Anti-bandage Pressure to Prevention and Treat Lymphatic Leakage

    CHEN Shouwan WANG He HE Xuedong

    The Department of Burns and Plastic Surgery of the People's Hospital of Jianyang City,Jianyang 641400,China

    [Abstract] ObjectiveTo study the clinical curative effect of anti-bandage pressure on prevention and treating of lymphatic leakage after surface surgery. Methods187 cases of surface toumer patients after surgery were bandagedby different methods,100 cases dressed by routine,the other 87 cases dressed by with anti-compression bandaging. ResultsThe major complications of postoperative subcutaneous fluid(lymphatic leakage)occurred in 25 cases,of which 21 cases of the conventional group,4 cases of anti-dressing,the average healing time of lymphatic leakage in the conventional group was(20.6±2.2)days,and the anti-pressure group was(10.4±1.8)days,two groups of patients the incidence of lymphatic leakage and healing time of lymphatic leakage had significantly different. ConclusionUsing the local anti-bandage pressure bandage after the operation,can reduce the major complications of lymphatic leakage and promote healing of lymphatic leakage and improve the quality of surgery. ......