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目的 :探讨如何降低乳腺癌根治术后皮瓣坏死的发生率。方法 :对 90例采用预防皮瓣坏死新方法的乳腺癌根治术病例与过去实施的 3 5 0例乳腺癌根治术病例进行了分组对比研究。结果 :乳腺癌根治术后的皮瓣坏死率由原来的 45 %下降到目前的2 % ,经统计学处理 ,二者有极显著差异。结论 :预防和治疗乳腺癌根治术后皮瓣坏死的关键是 :防止腋下淋巴管瘘 ,腋下、肋下置双管引流 ,合适的胸带包扎力 ,合理的皮瓣厚度 ,皮瓣缝合不能有张力及恰当的综合治疗。
Objective: To explore how to reduce the incidence of skin flap necrosis after radical operation of breast cancer. Methods: A comparative study of 90 cases of radical mastectomy for the prevention of skin flap necrosis with 305 cases of radical mastectomy performed in the past was conducted. Results: The necrosis rate of skin flap after radical mastectomy decreased from 45% to 2% at present. After statistical analysis, there was a significant difference between the two. Conclusion: The key to preventing and treating skin flap necrosis after radical mastectomy is to prevent underarm lymphatic fistula, armpit, double rib drainage under the ribs, proper chest banding, reasonable flap thickness, flap suture Can not have tension and proper comprehensive treatment.