皮瓣坏死是乳腺癌根治术后最常见并发症,国外文献报导其发生率为10％～60％,国内报导为51％～71％。我科91年12月以前为37.5％。我们于1992年1月～1994年11月针对皮瓣坏死率高的原因采取了一系列改进措施,手术176例,皮瓣坏死率控制在4.5％,现报告如下。 Flap necrosis is the most common complication after radical mastectomy. Foreign literature reports that the incidence is 10% to 60%. Domestic reports are 51% to 71%. Our department was 37.5% before December of the same year. From January 1992 to November 1994, we took a series of measures to improve the rate of skin flap necrosis. Among the 176 cases, the flap necrosis rate was controlled at 4.5%. The report is as follows.