摘要
以肿瘤和乳头为中心、以安全边界或 3 0cm为半径分别画圆 ,沿两圆边作两个“S”状纵切口线 ,上、下两端相交并位于锁骨及肋弓中 1/3段 ,术后形成典型的“S”形缝合切口。结果治疗乳腺癌 68例 ,全部Ⅰ期缝合 ,无患肢水肿及功能受限 ;2例出现皮瓣束状区域坏死 ,1例皮下积血 ;均在术后 3～ 4d开始辅助治疗。初步研究结果提示 ,通过改变切口走向可以更多的节省皮肤 ,预防并发症 。
Two circulars are planed according to their centers,the nipple and the tumor center and the radius is safety border or ≥3.0 cm.Then,two 'S' form slitting incisions are signed along the circular edges,which are interception and the upper point of two circulars is controlled along the 1/3 middle part of the collarbone.Two obtuse triangle skip flaps are formed beside incisions,and opposited each other.All patients were sutured in the first period and the edema of arm and obstacle of function do not occur.There are 2 patients (2.9%) occurring to bundles shape necrosis of the skip flap and 1 patient (1.5%) hematocele under skin flap. The 3rd to 4th day after operation, full set are remedied with aid-treatment.Through altering the direction of incision,we can save skip and prevent the complication in skip flap.So the 'S' froms of incision devise the condition for improving the quality of life and the cure rate.
出处
《肿瘤防治杂志》
2004年第3期307-308,共2页
China Journal of Cancer Prevention and Treatment
