摘要
为探讨乳腺癌术后皮瓣坏死的原因及预防措施 ,降低乳腺癌术后皮瓣坏死的发生率 ,对 13 6例接受手术治疗的乳腺癌患者的临床资料进行总结 ,并分析了不同手术方式、皮瓣厚度、皮瓣张力和皮瓣坏死之间的关系。结果显示 ,13 6例乳腺癌手术患者中 ,2 8例 (2 0 .5 9% )发生皮瓣坏死 ,薄皮瓣组的坏死率高于厚皮瓣组 (分别为3 3 .3 3 %、 11.3 9% ,P<0 .0 5 )。在厚皮瓣组中 ,高张力皮瓣坏死率高于低张力皮瓣 (分别为 2 2 .2 %、 2 .3 3 % ,P<0 .0 5 ) ;在薄皮瓣组 ,不同张力组之间 ,皮瓣坏死率没有显著差异 (P>0 .0 5 )。表明皮瓣薄、皮瓣张力高是导致乳腺癌术后皮瓣坏死的重要原因 ,合理的皮瓣厚度、无张力皮瓣缝合。
To reduce the incidence of the skin flap necrosis.Reviewed and analysed 136 patients with the breast cancer undetwent surgical treatment.Studied the relations between the thickness of the skin flap,tension of the skin flap,the mode of the operation and the necrosis of the skin flap.Results showed that 28 cases (20.59%)suffured from skin flap necrosis.The incidence of the flap necrosis in the thick skin flap group was lower than in the thin skin flap group(11.39% vs 33.33%).In the thick skin flap group,the incidence of the flap necrosis in the high flap tension group was higher than in the low tension group(22.2% vs 2.33%).In the thin flap group,there was no significant difference between high tension group and low tension group.This suggests that the key of the prevention of skin flap necrosis are prevention of the axillary lymphatic leaking,two tubular drainage set individually in subcostalis and subaxillaris,proper thickness of the skin flap and perfect suture without tension.
出处
《山东医药》
CAS
北大核心
2003年第12期9-11,共3页
Shandong Medical Journal
