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目的 :探讨乳腺癌根治术后切口并发症发生的原因和防治。方法 :回顾性分析 5年间 10 4例乳腺癌术后切口并发症发生的原因以及总结后一年采用一些防治措施的效果。结果 :5年中前 4年切口并发症发生率为34% ,后一年发生率为 7.5 %。结论 :发生切口并发症的主要原因是术中电刀使用不当、过泛钳夹皮缘造成组织挤压损伤 ,以及引流不当和加压包扎欠妥引起。用丝线缝吊切口边缘牵引代替钳夹牵引以及使用特制的弹力胸带包扎对减少切口并发症有明显效果。
Objective: To investigate the causes and prevention of incision complications after radical operation of breast cancer. Methods: Retrospective analysis of 105 cases of 104 cases of postoperative complications of breast cancer incision causes and summarized the effect of the year after the adoption of some control measures. Results: The incidence of incision complications was 34% in the first 4 years of 5 years and 7.5% in the latter year. Conclusion: The main causes of incision complications are improper use of electric knife in the surgery, over-crush skin tissue crush caused by crush injury, as well as improper drainage and improper compression caused by compression. The use of silk suture cut edge traction instead of clamp traction traction and the use of special elastic chest banding to reduce incision complications have a significant effect.