【摘要】目的:探讨如何降低乳腺癌改良根治术后皮瓣坏死的发生率。方法:对65例采用预防皮瓣坏死新方法的乳癌改良根治术病例与过去实施的128例乳癌改良根治术病例进行分组对比研究。结果:乳癌改良根治术后的皮瓣坏死率由原来的21.9%下降至4.6%,效果显著。结论:预防乳癌改良根治术后皮瓣坏死的关键是合理的皮瓣厚度,避免皮瓣缝合张力,防止淋巴管漏,有效双管引流,合适包扎。

    【关键词】乳腺癌;皮瓣坏死;乳癌改良根治术

    Prevention of skin flap necrosis following modified eradicative operation of breast cancer

    Chen Junhao Ren Xusheng Luo Zhanglong Wu Jianbin

    【Abstract】Objective: To study how to reduce the incidence rate of skin flap necrosis after the modified eradicative operation of breast cancer.Methods 65 patients with breast cancer underwent modified eradicative operation with new methods to prevent the necrosis of skin flap,and theywere studied and compared with 128 cases treated by traditional ways.Results With the new methods adopted,the necrosis rate of skin flap following modified eradicative operation of breast cancer was reduced from original 21.9% to present 4.6%.There was outstanding difference between them.Conclusion In the modified eradicative operation of breast cancer,the key to prevent the necrosis rate of skin flap is:proper thickness of skin flap,perfect suture without tension,prevention of subaxillaris lymphatic fistula,two tubular drainage set individually and ppropriate force of bandaging. ......