论文部分内容阅读
对 8 2例乳癌根治术病人的皮瓣愈合情况进行统计分析 ,发现标准根治术 18例出现皮瓣坏死 4例 ,占 2 2 .2 % ,64例改良根治术病人出现皮瓣坏死 5例 ,占 7.8% ,其中 2 6例围术期开始进行化疗 ,出现皮瓣坏死 2例 ,占 7.7% ,3 8例切口愈合后进行化疗 ,出现皮瓣坏死 3例 ,占 7.9%。认为不同的手术方式及操作影响皮瓣的愈合 ,早期化疗对皮瓣愈合影响不明显 ,预防皮瓣坏死的主要措施有 :尽量采用改良根治术 ,注意保护皮瓣 ,负压引流、减张缝合及适当的加压包扎。
A statistical analysis was performed on 82 patients with radical mastectomy who had undergone radical mastectomy. It was found that 18 cases of flap necrosis occurred in 4 cases, accounting for 22.2% of the cases, and 64 patients with modified radical mastectomy had flap necrosis in 5 cases. 7.8%, of which 26 cases started perioperative chemotherapy, flap necrosis in 2 cases, accounting for 7.7%, 38 cases of incision healing after chemotherapy, flap necrosis in 3 cases, accounting for 7.9%. Different surgical methods and operations were considered to affect the healing of flaps. Early chemotherapy had no obvious effect on flap healing. The main measures to prevent flap necrosis were as follows: modified radical mastectomy as much as possible, attention to skin flap protection, negative pressure drainage, and suture reduction And appropriate pressure dressing.