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目的 :探讨乳腺癌根治术后皮瓣坏死的防治措施。方法 :对 1992年 9月～ 2 0 0 0年 11月间收治的 5 0例乳腺癌根治术 (其中经典根治术 2 8例 ,改良根治术 2 2例 ) ,术中、术后采取相应措施进行总结分析。结果 :全组病例术后发生范围不同的皮瓣坏死 5例 (其中坏死皮瓣宽度在 1cm以内者 2例 ,超过 1cm小于 2cm者 2例 ,达 3cm者 1例 )占全部病例的 10 % ,低于国内文献报道 5 1%～ 71% [1 ,2 ] 。结论 :乳腺癌根治术 ,术中、术后对手术区采取有效措施 ,可明显降低皮瓣坏死的发生率。
Objective : To investigate the prevention and treatment of flap necrosis after radical mastectomy. Methods: Fifty cases of radical mastectomy for breast cancer (between 28 cases of radical mastectomy and 22 cases of modified radical mastectomy) from September 1992 to November 2000 were taken. Conduct a summary analysis. RESULTS: Five cases of skin flap necrosis with different range of postoperative necrosis occurred in all cases (including 2 cases with necrotic flap width within 1 cm, 2 cases above 1 cm below 2 cm, and 1 case up to 3 cm) accounting for 10% of all cases. Lower than the domestic literature reported 5 1% to 71% [1, 2]. Conclusion: The radical mastectomy for breast cancer and the effective treatment of the operation area during and after surgery can significantly reduce the incidence of flap necrosis.