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皮瓣坏死是乳癌根治术后最常见并发症。我院自1982～1990年施行乳癌根治术45例,发生皮瓣坏死35例,坏死率77%。为了防止这一并发症的发生,自1991年以来在40例乳癌根治术中,改进了操作和处理方法后,发生皮瓣坏死4例,坏死率为10%。现将我们的方法和体会报告如下。 1 临床资料 1990年前施行乳癌根治术45例,年龄26～76岁,平均年龄51岁,术后出现皮下积血积液39例次,皮瓣坏死35例次,坏死率77%。1991年后施行乳癌根治术40例,年龄25～79岁,平均年龄50岁,术后出现皮下积液6例次,发生皮瓣坏死4例次,坏死率10%
Flap necrosis is the most common complication after radical mastectomy. In our hospital, from 1982 to 1990, 45 cases of radical mastectomy were performed and 35 cases of flap necrosis occurred. The necrosis rate was 77%. In order to prevent the occurrence of this complication, since 1991, in 40 cases of radical mastectomy, after improved operation and treatment methods, 4 cases of flap necrosis occurred and the necrosis rate was 10%. Now report our method and experience as follows. 1 Clinical data Before the 1990 implementation of breast cancer radical resection in 45 cases, aged 26 to 76 years, the average age of 51 years, 39 cases of subcutaneous hemorrhage after effusion, 35 cases of flap necrosis, necrosis rate of 77%. After the implementation of radical mastectomy in 1991, 40 cases, aged 25 to 79 years, mean age 50 years, 6 cases of subcutaneous effusion occurred after surgery, flap necrosis occurred in 4 cases, the necrosis rate was 10%