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目的 探讨降低乳腺癌根治术后皮瓣坏死的发生率及其预防方法。方法 对 39例乳腺癌根治术患者术中注意保护皮瓣血供 ,防止腋下淋巴管瘘 ,行腋下、胸骨旁双管引流 ,合理的皮瓣厚度及皮瓣无张力缝合 ,合适的胸带包扎。结果 39例中有 2例发生皮瓣坏死 ,坏死率为 5 .13%。结论 术中注重保护皮瓣血供 ,防止腋下淋巴管瘘 ,实行腋下、胸骨旁双管引流 ,合理的皮瓣厚度及皮瓣缝合不能有张力 ,合适的胸带包扎是预防乳癌皮瓣坏死的关键。
Objective To investigate the incidence and prevention of skin flap necrosis after radical operation of breast cancer. Methods Thirty-nine patients with radical mastectomy underwent radical surgery to protect the blood supply of the flap, to prevent armpit lymphatic fistula, to perform double-tube drainage under the armpits and parasternal sides, to obtain reasonable flap thickness and flap-free suture, Bandaged. Results Skin flap necrosis occurred in 2 of 39 cases, with a necrosis rate of 5.13%. Conclusions Intraoperative attention to protect the blood supply of the flap to prevent underarm lymphatic fistula, the implementation of armpit, parasternal double drainage, reasonable flap thickness and flap suture can not have tension, suitable chest bandaging is to prevent breast cancer flap The key to necrosis.