摘要
目的:探讨防治乳腺癌改良根治术后大块皮瓣坏死的理想方法。方法:对558例乳腺癌改良根治术者采取术前切口设计、皮瓣避免张力缝合、适当的皮瓣厚度、合理使用电刀、行腋下和胸骨旁双管负压引流及合适包扎等措施。结果:558例中仅有32例发生小范围皮瓣坏死,坏死率约6%。结论:术前切口设计、适当的皮瓣厚度、合理使用电刀、皮瓣无张力缝合、有效引流及合适包扎是预防皮瓣坏死较好的方法。
Objective：To explore the prevention and treatment of skin flap necrosis after modified radical mastectomy. Methods：Total of 558 cases under went modified radical mastectomy were treated by pre -operative design, to avoid tension suture flap, flap of appropriate thickness, rational use of electrotome, axillary and parasternal two - tube suction drainage and appropriate measures of dressing. Results：Only 32 in 558 eases occured small skin flap necrosis, the necrosis rate was about 6%. Conclusion： Preoperative incision design, flap surgery in appropriate thickness, rational use of electrotome, flap suture tension - free and effective drainage and appropriate dressing can prevent skin necrosis after operation.
出处
《现代肿瘤医学》
CAS
2010年第6期1154-1155,共2页
Journal of Modern Oncology
关键词
乳腺癌
皮瓣坏死
改良根治术
skin flap necrosis
breast cancer
modified radical masfectomy
