聚桂醇注射液治疗乳腺癌术后淋巴瘘

杨纯珍; 程宝泉; 于明秀

doi:10.3969/j.issn.1000-8179.20131481

聚桂醇注射液治疗乳腺癌术后淋巴瘘

Lauromacrogol injection for the treatment of lymphatic fistula after surgery for breast cancer

摘要

摘要:
目的评价聚桂醇注射液治疗乳腺癌术后淋巴瘘的临床疗效。

方法分析从2010年5月至2013年10月山东大学校医院收治的乳腺癌腋窝淋巴结清扫术后出现淋巴瘘的患者，治疗组采取聚桂醇与空气混合物从引流管内注入，残腔局部适当加压包扎24 h。对照组采用局部加压包扎持续负压引流的传统方法治疗。

结果治疗组所有患者淋巴瘘均在注射1次后消失，12例全部获得随访，无淋巴瘘复发。治愈时间与对照组比较差异显著。

结论聚桂醇注射液治疗乳腺癌术后出现的淋巴瘘，疗效确切，可作为淋巴瘘治疗方法优先选择。

Abstract:
Objective To investigate the efficacy of lauromacrogol injection for the treatment of post-operative breast cancer lymphatic fistula.

Methods A mixture of lauromacrogol and air from the drainage tube was injected to the treatment group. The site of the residual cavity was bound with appropriate pressure for 24 h. The control group was treated with traditional methods.

Results The lymphatic fistula of the treatment group disappeared after the mixture of lauromacrogol and air was injected to the patients. All of the 12 cases were subjected to a follow-up session. No recurrence of lymphatic fistula was observed. The differences between the treatment group and the control group were significant.

Conclusion The results revealed the efficacy of lauromacrogol injection for the treatment of post-operative breast cancer lymphatic fistula. Hence, this method could be applied for the preliminary treatment of lymphatic fistula.

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