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目的 探讨乳癌术后皮瓣坏死的原因及其防治。方法 对我院 1992年 12月至 2 0 0 2年 12月手术治疗的 4 2例乳腺癌病人的临床资料进行回顾性分析。结果 4 2例乳腺癌病人术后发生皮瓣坏死 17例 ,发生率为 4 0 6 %。结论 乳癌术后皮瓣坏死的因素是多方面的 ;术中护好皮瓣血运 ,术后适当胸部加压包扎 ,保持引流管通畅 ,及时抽除皮下积液。一旦发生切口感染 ,及时拆线引流。发现皮瓣坏死 ,及时剪除换药 ,必要时植皮 ,可缩短创面愈合时间
Objective To investigate the causes and prevention of skin flap necrosis after operation of breast cancer. Methods The clinical data of 42 patients with breast cancer surgically treated in our hospital from December 1992 to December 2002 were analyzed retrospectively. Results There were 17 cases of skin flap necrosis occurred in 42 patients with breast cancer, the incidence was 40.6%. Conclusion There are many factors of skin flap necrosis after operation of breast cancer. The blood supply of the flap during operation is good, and proper thoracotomy pressure dressing is performed after surgery to keep the drainage tube open and remove the subcutaneous fluid timely. In case of incision infection, timely removal of drainage. Found necrosis of the flap, cut and dressing in time, if necessary, skin graft, can shorten the wound healing time