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乳腺癌改良根治及根治术,仍是我国最常用的手术方法。由于手术范围大,皮瓣分离广,皮瓣下积液及皮瓣坏死是最常见的并发症,不仅影响病人切口美观,更主要的是延误了化疗、放疗的及时进行,并影响综合治疗效果。为降低此并发症的发生率,减少胸壁复发,我院于1992年以后,对施行乳腺癌根治术及改良根治术的60例病人进行回顾总结如下:1 临床资料1.1 一般资料:本组60例均为女性,年龄32岁~65岁,平均年龄51岁。原发灶为T_2期25例,T_3期35例,无锁骨上淋巴结及远处转移。行根治切除术51例,改良根治术9例。病理分型:单纯癌
Modified radical mastectomy and radical mastectomy are still the most commonly used surgical methods in China. Due to the large range of surgery and wide flap separation, effusion under the skin flap and flap necrosis are the most common complications, not only affecting the aesthetic appearance of patients, but also delaying the timely implementation of chemotherapy and radiotherapy, and affecting the comprehensive treatment effect. . In order to reduce the incidence of this complication and reduce the recurrence of chest wall, after our hospital in 1992, 60 patients undergoing radical mastectomy and modified radical mastectomy were reviewed and summarized as follows: 1 Clinical data 1.1 General information: 60 patients in this group All women, aged 32 to 65 years, mean age 51 years. The primary tumor was T2 stage in 25 cases, T3 stage in 35 cases, no supraclavicular lymph node and distant metastasis. Radical resection was performed in 51 patients and modified radical operation in 9 patients. Pathological type: simple cancer