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目的 探讨乳癌根治术后加速创面愈合的方法，使伴有皮瓣坏死的根治术后乳腺癌病人尽早开始放疗和化疗。方法 用换药法及点状表皮皮片移植、中厚皮片移植和随机皮瓣推移法处理皮瓣坏死创面。结果 使用植皮法创面愈合时间明显短于换药法，网状随机皮瓣优于其他几种植皮法。结论 乳癌根治术后病人若出现中度以上皮瓣坏死应尽早切痂植皮，以随机皮瓣推移植皮术效果最佳。若能制成网状皮瓣可扩大皮瓣面积，效果良好。
Objective To investigate the method of accelerated wound healing after radical mastectomy and to start radiotherapy and chemotherapy as soon as possible after radical mastectomy with breast necrosis. Methods Flap necrosis wounds were treated with dressing change method, spotted epidermal skin grafting, moderate thick skin grafting and random skin flapping. Results The time of wound healing using skin grafting method was significantly shorter than that of dressing change method. Random mesh flaps were superior to other skin graft methods. Conclusions Patients with moderate or above skin flap necrosis after radical mastectomy should be treated as early as possible to cut skin grafts. Random skin flaps are best for skin grafting. If it can be made of mesh flaps can expand the area of the flap, the effect is good.