关键词: 乳腺肿瘤, 乳腺癌改良根治术, 自制绷带

Abstract: Objective　To investigate the clinical value of self-made bandage via postoperative use of it in patients with modified radical mastectomy.Methods　The enrolled participants were 60 patients undergoing modified radical mastectomy by the same group of surgeons in Thyroid and Breast Surgery，the Eighth Affiliated Hospital，Sun Yat-sen University between May 2010 and October 2016.Using block randomization method，they were allocated into group A and group B.For binding up the wound postoperatively，normal elastic bandage was used for group A，while self-made bandage was adopted for group B.The incidence of postoperative skin flap necrosis，incidence of subcutaneous effusion，rate of grade Ⅰ wound healing，the average extubation time，average daily drainage volume，average length of stay（LOS） and postoperative reported comfort were compared between the groups.Results　Compared with group A，group B demonstrated lower postoperative incidence of skin flap necrosis〔6.7%（2 cases） vs 26.7%（8 cases）〕（χ2=4.32，P=0.038），lower incidence of subcutaneous effusion〔6.7%（2 cases） vs 30.0%（9 cases）〕（χ2=5.46，P=0.020），but higher rate of grade Ⅰ wound healing〔93.3%（28 cases） vs 73.3%（22 cases）〕（χ2=4.32，P=0.038）． Moreover，group B showed shorter average extubation time（insertion sites of armpit and protothorax），and LOS，as well as less average daily drainage volume（P<0.001）． In addition，group B had lower rate of injection of analgesic drugs〔10.0% （3 cases） vs 33.3% （10 cases）〕（χ2=4.81，P=0.028），lower rate of respiratory limitations〔6.7%（2 cases） vs 26.7%（8 cases）〕（χ2=4.32，P=0.038），and lower rate of being confined passive position〔6.7%（2 cases） vs 30.0%（9 cases）〕（χ2=5.46，P=0.020） than group A.Conclusion　Using self-made bandage for binding up the wound postoperatively，can reduce the incidence of subcutaneous effusion，decrease the incidence of skin flap necrosis，increase the rate of grade Ⅰ wound healing，shorten the extubation time and LOS，decline the daily drainage volume and improve the postoperative comfort，so it is worthy of clinical promotion.

Key words: Breast neoplasms, Modified radical mastectomy, Self-made bandage