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皮瓣坏死是乳癌根治术后最常见并发症,我院1990—1996年施行乳腺癌根治手术182例,发生各种皮瓣坏死52例,占28.6％。现将皮瓣坏死的原因及早期处理体会报告如下。1 临床资料 本组52例均为女性,年龄17～72岁。根治术28例,简化根治术21例,单纯乳腺切除术3例。皮瓣坏死5cm以上18例,2～5cm11例,2cm以下15例,表皮坏死出现水疱8例。术后早期酒精湿敷8例,切痂后换药15例,切痂并植皮29例。
Flap necrosis is the most common complication after radical mastectomy. In our hospital from 1990 to 1996, 182 cases of radical mastectomy were performed and 52 cases of various skin flap necrosis occurred, accounting for 28.6%. The causes of flap necrosis and early treatment experience are reported below. 1 Clinical data 52 patients in this group were female, aged 17 to 72 years old. Radical surgery was performed in 28 cases. 21 cases were simplified radical mastectomy and 3 cases were simple mastectomy. Flap necrosis was more than 5cm in 18 cases, 2~5cm in 11 cases, and 2cm in 15 cases. Eight cases of epithelial necrosis occurred with blisters. In the early postoperative period, 8 cases were treated with wet alcohol, 15 cases were treated after excision, and 29 cases were excised and implanted.