乳腺癌腋窝淋巴结清扫术后引流该说再见了吗?全身氨甲环酸联合局部肾上腺素+木洛卡因与传统引流术的随机临床试验。

IF 0.5 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tropical Doctor Pub Date : 2024-09-27 DOI:10.1177/00494755241284426
Sanjay Kumar Yadav, M Mohammed Imran, Dhananjaya Sharma, Yogesh Tiwari, Arpan Mishra, Pawan Agarwal
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引用次数: 0

摘要

腋窝淋巴结清扫术后引流是发病的主要原因。我们评估了腋窝淋巴结清扫术后局部使用肾上腺素加伊洛卡因+全身使用氨甲环酸(EXT)的效果。主要终点是血清肿发生率。在腋窝淋巴结清扫术后血清肿发生率与引流相似的情况下,EXT 可缩短住院时间,从而避免引流。
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Is it time to say goodbye to drainage after axillary lymph node dissection in breast cancer? A randomized clinical trial of systemic tranexamic acid combined with topical epinephrine + xylocaine versus conventional drainage.

Drainage after axillary lymph node dissection is a major cause of morbidity. We evaluated the outcomes of topical epinephrine with xylocaine + systemic tranexamic acid (EXT) after axillary lymph node dissection. The primary endpoint was the rate of seroma development. This resulted in reduced hospital stay with similar rates of seroma as drainage after axillary lymph node dissection; thereby making it possible to avoid drainage.

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来源期刊
Tropical Doctor
Tropical Doctor 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.20
自引率
0.00%
发文量
144
审稿时长
3 months
期刊介绍: The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.
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