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1、英文摘要TlleClinicalARalysisofP'ate:ltBlueV如PreventionofLymphorrhHAlrtei-Operltio:lsinFOHInguen'sSpacel佃peetiveli,u(IomizedTrislA如鲥暗锄ctObleetiveToevaluatetheclinicaleffectofPatentBlueVOnlymplaon'beaatter0lⅪm妇infoldingum'$space.TolJsePatentBlueVtoplwcntOlrcl鹏lymplaorda
2、eUoweⅢlowertheincidenceoflymplaorrlm:atthen10sLBaekllrotm(ILymplaorrlaeaOrSCl'OlnaisacOlllnlOnsideef‰tattcroperationsinfoldinguenspaceIna】i虬manypatientsa∞or,era蝴infoldinguenspacetoclmdiffc.1伽tdi∞a蟠.this弘Ⅸ静血∞hasprovedahi曲incidenceoflymphorrlaea01'辩删arangedbeh舢15-53
3、%intheliterature.AlTeroperationsinfoldinguenspace.althoughpostoperativelymphoiTheaOrSCl-omaisnotconsideredasmajorlitt-lllreateningcomplications,itsocaⅡra咐c锄leadtolymphe,iema,sepsis,necrosisanddetayedwotmd-healingpl'oces8.Italso托珂ai墙themaincⅫ∞forprolongedhospitalst
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5、catedintbopathog蚰esisoflympllorrlaea:homatieexudation,presenceofspaceandlymphaticblockPlevenlionofiymphorrlaearequilⅨmeticuloushaemostasis,lⅨhlctionofthesurgicaldetachmentspacesandimprovementoflymphdrainage。DespitethecommonuseofpostopcmtivedrainagewithVaaⅢmdⅨI缸the
6、riskpersists.Manyprocedureshavebeenr,roposedtodecreasetheincidenceoflymphorrl
7、ea'suchasthe嘴ofmultipledrains.compressiveda'essing'’butlhcmeanincidenceoflymphorrheaisalsoabout35%.kthereanewp06sibilitythatcoulddecreasetheoca∞Ten∞oflymphorrlaeaattersurgicaltreatmentin
8、foldinguen'sspace?PatentBlueV.4biologicplt删on,thatc锄be幻indicatelymplaorrlaea缸v/Oulldsui'facesatterdissectionandtohelptosolvethisproblem.MethodsThis嘲a班碰p∞帆simple-blindrandomizedcontrolledlrial.Fourtypatientsmdergoingoperatedinfoldinguen'sspacefromMarch2006toDecembe
9、r2006WtelfCrandomizedintotwogroup:controlgroup(n--=20)witlaoutPatentBlueVandtlleatmentgroup缸_20)with2.mlofPatentBlueVappliedtothedissectionareaatthebegi