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目的探讨乳腺癌术后皮瓣坏死的原因及预防。方法对我院本治疗小组2003年以来手术治疗的300例乳腺癌病人的临床资料进行回顾性分析。结果对照组术后皮瓣坏死36例,发生率占24%,观察组术后皮瓣坏死10例,发生率占6.7%。结论减少术中、术后皮瓣的张力,正确使用电刀,适度的皮瓣厚度等,可预防和减少皮瓣坏死的发生。
Objective To investigate the causes and prevention of postoperative flap necrosis of breast cancer. Methods A retrospective analysis was performed on the clinical data of 300 patients with breast cancer who underwent surgical treatment since 2003 in our hospital. Results 36 cases of flap necrosis occurred in control group after operation, the incidence rate was 24%. In the observation group, 10 cases were treated with flap necrosis after operation, the incidence rate was 6.7%. Conclusions To reduce the intraoperative and postoperative flap tension, the correct use of electric knife, moderate flap thickness, etc., can prevent and reduce the occurrence of skin flap necrosis.