乳癌根治术虽是外科常见手术之一,但常并发腋窝积液、皮瓣坏死、患侧上肢水肿、患侧上肢活动功能障碍、出血、局部种植复发等并发症。为此,自1990～1995年,我科对62例乳癌根治术手术方法进行了几点改进,取得较好手术效果。兹介绍如下。 1 临床资料本组病人女61例,男1例。双侧乳癌1例。年龄33～78岁。肿块直径1.5～11cm。行经典根治术(Halsted)24例,改良根治术(Auchincloss)38例。Ⅰ期植皮36例(55%)。自改进后,并发症发生率明显下降,见表1。 Although radical surgery for breast cancer is one of the common surgical procedures, it is often accompanied by complications such as effusion, flap necrosis, ipsilateral upper extremity edema, upper limb dysfunction, bleeding, and local implant recurrence. To this end, from 1990 to 1995, our department carried out several improvements on 62 cases of breast cancer radical surgery, and achieved good surgical results. This is described below. 1 clinical data in this group of patients 61 females and 1 male. Bilateral breast cancer in 1 case. Age 33 to 78 years old. The diameter of the mass is 1.5 to 11 cm. There were 24 cases of Halsted and 38 cases of Auchincloss. Stage I skin grafting was performed in 36 cases (55%). Since the improvement, the incidence of complications has decreased significantly, as shown in Table 1.