论文部分内容阅读
目的:比较乳腺癌改良根治术中手术刀片与电刀游离皮瓣的优劣。方法:回顾性研究乳腺癌手术患者的临床资料,比较手术刀片与电刀分离皮瓣所需手术时间、术中出血量、皮下积液发生率、皮缘及皮瓣坏死发生率。结果:手术刀组与电刀组相比,皮瓣分离所需时间短(P<0.05),术中出血量偏多(P<0.05),部分患者出现皮瓣坏死;两组术后皮下积液发生率、皮缘及皮瓣坏死发生率差异无统计学意义(P>0.05)。结论:电刀与手术刀片分离皮瓣各有所长;建议男性乳腺癌患者选用电刀分离,乳腺较丰满患者选用手术刀片分离。
Objective: To compare the advantages and disadvantages of surgical knife and electric knife free flap in modified radical mastectomy of breast cancer. Methods: The clinical data of patients with breast cancer surgery were retrospectively studied. The operation time, blood loss, the incidence of subcutaneous effusion and the incidence of skin flap and skin flap necrosis were compared between the surgical knife and electric knife. Results: Compared with the electric knife group, the time required for flap separation was significantly shorter (P <0.05) and the amount of bleeding during the operation was higher (P <0.05), and some patients had skin flap necrosis. Subcutaneous The incidence of fluid, skin edge and flap necrosis no significant difference (P> 0.05). Conclusion: The electric knife and the surgical blade have their own advantages and disadvantages. It is suggested that the male breast cancer patients should be separated by electric knife and the breast fullness should be separated by the surgical blade.