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随机对照试验:随机对照试验:与西洛卡因的局部上腺素对带淋巴结解剖后排水的影响:随机对照试验
Prerna Dehariya1, Namrata Agarwal1, Sanjay Kumar Yadav2
1Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India.
World journal of surgery
|August 15, 2023
概括
局部用上腺素与西洛卡因在股淋巴结解剖后显著减少了手术后的排水. 这种干预减少了液体体积,缩短了导管持续时间,改善了患者的康复.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 乳腺癌手术 乳腺癌手术
背景情况:
- 骨淋巴结解剖 (ALND) 是乳腺癌治疗中常见的一种手术.
- 手术后的排水和血清瘤形成是ALND.之后的重大问题.
- 尽量减少排水和相关并发症可以改善患者的治疗结果并降低医疗保健成本.
研究的目的:
- 评估局部上腺素与西洛卡因在ALND后手术后排水管理中的疗效.
- 为了将上腺素与西洛卡因排水 (ED) 和常规排水 (CD) 组之间的排水量,持续时间和并发症率进行比较.
主要方法:
- 一项随机研究涉及52名接受ALND的女性.
- 参与者被分配到ED组或CD组.
- 关键指标包括总排水量,排水导管的持续时间,血清瘤和伤口感染的发生率.
主要成果:
- 在ED组中,平均总排水量显著降低 (195毫升与353毫升相比;p=0.002).
- 在ED组中,排水导管在早期被移除 (5.07天与6.65天相比; p=0.0001).
- 两组之间没有观察到血清瘤形成或伤口感染率的显著差异.
结论:
- 局部用上腺素与西洛卡因在减少ALND后手术后排水量方面是有效的.
- 这种干预也导致排水导管使用的时间更短.
- 上腺素与西洛卡因一起提供了一种有希望的方法,可以改善ALND后的术后管理,而不会增加并发症风险.
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