The Comparative Study Of Different Wound Treatments After Modified Radical Mastectomy

Background and Objective Breast cancer account for 25-30% of female malignant tumors,and it shot to the top of the ranking in the world.Compare with advanced countries,there are lower incidence and mortality in China,but they show a trend of rapidly increasing.Breast cancer has become the most common female malignant tumors in China.The surgery operation is a significant treatment of breast cancer.Compared with other operation methods,the modified radical mastectomy has the advantages of less damage,and it could keep the thoracic appearance better.So the modified radical mastectomy has been used the most widely in clinic.But there are some complications after the operation,such as subcutaneous exudate and flap necrosis.This research will explore the best treatments of the wound after modified radical mastectomy through retrospective analysis the patients of Hunan Provincial People's Hospital and The Third people's Hospital of Shenzhen who with the complete case information,to create the advantages for the multidisciplinary treatment.Data and MethodsThrough retrospective analysis the complete clinical data and general information of 70 cases of patients with breast cancer that treated in Hunan Provincial People's Hospital and The Third people's Hospital of Shenzhen from January 2014 to January 2017.And we divided the 70 cases into three groups,the group A is patients of pressure bandaging combined with multipoint suture,the group B is patients of pressure bandaging combined with not multipoint suture,and the group C is patients of not pressure bandaging combined with not multipoint suture.We compared the 3 groups to study the effect of pressure bandaging and multipoint suture for preventing the occurrence of complications.The volume of drainage and the extubation time are analyzed with t-test,the rate of subcutaneous exudate and flap necrosis are analyzed with chi-square test.Results1.The volume of chest-wall and axilla's drainage in the first day have no marked difference(p>0.05)in patients of pressure bandaging(group A and B)or not(group C)after modified radical mastectomy.But there is marked difference in the total volume of chest-wall and axilla's drainage,the extubation time of chest-wall's and axillary drainage(p<0.05),the total volume of chest-wall and axilla's drainage,the extubation time of chest-wall and axilla of patients of pressure bandaging after modified radical mastectomy is more than patients of not pressure bandaging.The rate of flap necrosis of patients of not pressure bandaging is lower than patients of pressure bandaging,and the difference is statistically significant(p<0.05).The rate of subcutaneous exudate,the rate of affected side upper limb edema and function disorder of patients of not pressure bandaging is lower than patients of pressure bandaging,but the difference is not statistically significant(p>0.05).2.The volume of chest-wall and axilla's drainage in the first day,the total volume of axillary drainage and the extubation time of axillary drainage have no marked difference(p>0.05)in patients of pressure bandaging(group A)or not(group C)after modified radical mastectomy.But there is marked difference in the total volume and the extubation time of chest-wall's drainage(p<0.05),the total volume of chest-wall's drainage and the extubation time of chest-wall of patients of pressure bandaging after modified radical mastectomy is more than patients of not pressure bandaging.The rate of flap necrosis of patients of not pressure bandaging is lower than patients of pressure bandaging,and the difference is statistically significant(p<0.05).The rate of subcutaneous exudate,the rate of affected side upper limb edema and function disorder of patients of not pressure bandaging is lower than patients of pressure bandaging,but the difference is not statistically significant(p>0.05).3.The volume of chest-wall and axilla's drainage in the first day,the total volume of axillary drainage,the extubation time of axillary drainage have no marked difference(p>0.05)in patients with multipoint suture(group A)or not(group B)after modified radical mastectomy.There is marked difference in the total volume and the extubation time of chest-wall's drainage(p<0.05),the extubation time of chest-wall of patients with multipoint suture after modified radical mastectomy is shorter than patients with not multipoint suture.The rate of subcutaneous exudate,the rate of affected side upper limb edema and function disorder and flap necrosis of patients with multipoint suture is lower than patients with not multipoint suture,but the difference is not statistically significant(p>0.05).Conclusions1.It could reduce the total volume,the extubation time of chest-wall's drainage and the rate of flap necrosis if the wound with not pressure bandaging after modified radical mastectomy.2.It could reduce the total volume and extubation time of chest-wall's drainage if the wound with multipoint suture after modified radical mastectomy.