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乳腺癌改良根治术后患者发生皮下积液的影响因素

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目的:分析乳腺癌改良根治术后患者发生皮下积液的影响因素.方法:回顾性分析 2021 年 3 月至 2023 年 8 月该院收治的 240 例乳腺癌改良根治术后患者的临床资料,统计乳腺癌改良根治术后患者皮下积液发生情况,依据是否发生皮下积液将其分为发生组80 例与未发生组 160 例,采用Logistic回归分析乳腺癌改良根治术后患者发生皮下积液的影响因素.结果:发生组体质量指数(BMI)≥24 kg/m2、合并糖尿病、无术前新辅助化疗、无皮瓣固定、未使用沙培林、未使用凝血酶等占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,BMI≥24 kg/m2、合并糖尿病、无术前新辅助化疗、无皮瓣固定、未使用沙培林、未使用凝血酶等均为影响乳腺癌改良根治术后患者发生皮下积液的危险因素(OR>1,P<0.05).结论:BMI≥24 kg/m2、合并糖尿病、无术前新辅助化疗、无皮瓣固定、未使用沙培林、未使用凝血酶等均为影响乳腺癌改良根治术后患者发生皮下积液的危险因素.
Influencing factors of subcutaneous fluid in patients after modified radical mastectomy for breast cancer
Objective:To analyze influencing factors of subcutaneous fluid in patients after modified radical mastectomy for breast cancer.Methods:The clinical data of 240 patients with breast cancer after modified radical mastectomy admitted to this hospital from March 2021 to August 2023 were retrospectively analyzed.The incidence of subcutaneous fluid in these patients was statistically analyzed.According to whether subcutaneous fluid occurred,they were divided into occurrence group(80 cases)and non-occurrence group(160 cases).Logistic regression was used to analyze the influencing factors of subcutaneous fluid in the patients after modified radical mastectomy for breast cancer.Results:The proportions of the patients with body mass index(BMI)≥24 kg/m2,combined diabetes mellitus,no preoperative neoadjuvant chemotherapy,no flap fixation,no use of Sapylin,and no use of thrombin in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that BMI≥24 kg/m2,combined with diabetes,no preoperative neoadjuvant chemotherapy,no flap fixation,no use of Sapylin,and no use of thrombin were all risk factors affecting the occurrence of subcutaneous fluid in the patients after modified radical mastectomy for breast cancer(OR>1,P<0.05).Conclusions:BMI≥24 kg/m2,combined with diabetes,no preoperative neoadjuvant chemotherapy,no flap fixation,no use of Sapylin,and no use of thrombin are the risk factors affecting the occurrence of subcutaneous fluid in the patients after modified radical mastectomy for breast cancer.

Breast cancerModified radical mastectomyPostoperativeSubcutaneous fluidInfluencing factor

蔡林森

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郑州市中医院乳腺科,河南 郑州 450000

乳腺癌 改良根治术 术后 皮下积液 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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