摘要
目的探讨乳癌术后皮瓣坏死的原因、预防及治疗。方法对我院2003年3月-2006年3月手术治疗的278例乳腺癌病人的临床资料进行回顾性分析。结果278例乳腺癌病人术后发生皮瓣坏死77例,发生率占24.1%。结论乳癌术后皮瓣坏死的主要措施有术中保护皮瓣血运,术后适当胸部加压包扎,保持引流管通畅等。出现皮瓣坏死时,及时剪除换药,力争切除缝合,必要时植皮。可减少病人痛苦,缩短病人住院时间。
Objective To study the cause, prophylaxis and therapy of skin flap necrosis following operation of breast cancer. Methods The clinical data of 278 cases with breast cancer received operation from March 2003 to March 2006 was analyzed retrospectively. Results Among 278 cases with breast cancer received surgical treatment, the skin flap necrosis was found in 77cases and the necrosis rate was 24. 1%. Conclusion The causes of skin flap necrosis are various, but major reasons have the blood transport of skin flap, properly packing the chest and the adequate drainage of the liquid under skin flap. When the skin flap necrosed, the necrosis tissue must be cut down in time. We can stitch the incision again or perform the skin transplantation.
出处
《医药论坛杂志》
2007年第2期9-10,共2页
Journal of Medical Forum
关键词
乳腺癌
皮瓣坏死
手术
Breast cancer
Skin flap necrosis
Operation
