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目的探讨多小切口减张法在乳癌根治术中避免植皮,预防皮瓣坏死的应用。方法对56例乳癌根治术中采用多小切口减张法预防术后皮瓣坏死的临床观察。结果 56例乳癌根治术后其中有1例出现皮瓣坏死,但面积较小,经加强换药后1.5个月痊愈,其中2例腋窝积液,经穿刺抽液、加压包扎后治愈。结论多小切口减张法可有效降低乳癌根治术后皮瓣坏死的发生率,避免了植皮,减少创伤。
Objective To investigate the application of multiple incision and reduction to avoid skin grafting in the radical mastectomy of breast cancer to prevent necrosis of skin flaps. Methods The clinical observation of 56 cases of radical mastectomy for the prevention of postoperative flap necrosis by multiple incision and reduction of tension method. Results In 56 cases of breast cancer, 1 case had skin flap necrosis after operation, but the area was small. After the dressing was strengthened 1.5 months after the dressing change, 2 cases of axillary effusion were punctured and punctured and healed. Conclusion Small incision and reduction of tension method can effectively reduce the incidence of skin flap necrosis after radical operation of breast cancer, avoid skin grafting and reduce trauma.