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目的探讨乳腺癌根治430例手术区域早期并发症81例(占18.8%)的最佳治疗。方法81例患者均为女性,其中61例实施改良根治,20例行标准根治(包括1例双乳)手术区域出现皮下积液51例;大出血3例;皮瓣不同程度缺血坏死27例。结果其中3例术后大出血二次手术清除积血,严密止血;51例积液皮瓣网状小切口多管引流,加压包扎。27例皮缘坏死切除二期缝合,部分皮瓣坏死切除中厚皮片移植等均获得较好的临床效果。结论笔者认为,早期治疗局部并发症使创面愈合为患者争取了早期综合治疗的机会。
Objective To investigate the best treatment for 81 cases (18.8%) of early complications in 430 cases of radical mastectomy for breast cancer. Methods Totally 81 patients were female. Among them, 61 cases were treated by modified radical mastectomy and 20 cases were treated by standard radical mastectomy (including 1 case of breast milk). There were 51 cases of subcutaneous fluid in operation area, 3 cases of hemorrhage, and 27 cases of necrosis of flap with different degree. Results Three cases of hemorrhage after surgery secondary hematoma clear, strict stop bleeding; 51 cases of effusion flap reticular small incision multi-tube drainage, pressure bandaging. 27 cases of skin necrosis resection two suture, partial flap necrosis of the skin graft and so on have received good clinical results. Conclusion I believe that the early treatment of local complications of wound healing for patients seeking early comprehensive treatment opportunities.