A prospective audit of the use of a buttress suture to reduce seroma formation following axillary node dissection without drains.
A prospective audit of the use of a buttress suture to reduce seroma formation following axillary node dissection without drains.
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对使用支撑缝合线减少腋窝淋巴结清扫后血清肿形成（无需引流）的前瞻性审核。
DOI：
10.1054/brst.2001.0366
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发表时间：
2002
期刊：
影响因子：
3.9
通讯作者：
S. Cawthorn
中科院分区：
文献类型：
--
作者：
M. Schuijtvlot;A. Sahu;S. Cawthorn
对腋窝淋巴结清扫癌保乳手术后血清形成进行了前瞻性审核。对九十七名连续患者进行了研究。术后腋窝内液体的形成（血清）被记录在计算机数据收集系统上。从1998年8月到1998年12月，没有使用引流或其他腋窝限制。其中 27 名腋窝样本中至少有 7 个淋巴结的患者的血清肿率为 14/27 (52%)。 1998年12月至1999年6月，在腋窝皮肤和胸壁之间额外插入缝合线（支撑缝合）。其目的是在解剖后消除腋窝空间。本研究中有 37 名患者腋窝淋巴结清扫有 7 个或更多淋巴结，其中 9 名患者出现血清肿 (24%) (P=0.007)。使用支撑缝合可降低腋窝解剖后无腋窝引流的血清肿率。
A prospective audit of seroma formation following breast-conserving surgery for carcinoma with axillary dissection was carried out. Ninety-seven consecutive patients were studied. The post-operative formation of fluid within the axilla (seroma) was recorded on a computerised data collection system. From August 1998 to December 1998, no drain or other axillary restriction was used. The seroma rate in 27 of these patients who had at least seven nodes in the axillary sample was 14/27 (52%). From December 1998 to June 1999, an additional suture was inserted between the axillary skin and the chest wall (buttress suture). This was designed to obliterate the axillary space after dissection. There were 37 patients with seven or more nodes in the axillary dissection in this study and of these, nine patients developed a seroma (24%) (P=0.007). The use of the buttress suture reduces the seroma rate following axillary dissection without axillary drainage.