摘要
目的探讨保留真皮下毛细血管网对乳腺癌改良根治术后皮瓣存活的保护作用。方法 12例乳腺癌患者采用保留真皮下毛细血管网皮瓣(A组)和12例采用真皮全层皮瓣(B组)比较术后皮瓣情况。结果皮下积液A组5例,B组8例;切口皮缘起水泡A组5例,B组9例,两组比较差异均无统计学意义,P>0.05。A组无1例发生皮瓣坏死,B组5例;术后住院天数A组较B组短,两组比较差异均有统计学意义,P<0.05。皮瓣坏死的发生与皮下积液及皮缘水泡相关。结论保留真皮下毛细血管网可减少乳腺癌改良根治术后皮瓣坏死的发生。
Objective To investigate whether the retention subdermal capillary network in the modified radical mastectomy（MRM） is beneficial for the survival of the skin flap. Methods The survival rate of the skin flap between 12 cases of reserved subdennal capillary network flap（ group A） and 12 cases of full-thickness dermal flap（ group B） after MRM were compared. Resuits 5 cases of subcutaneous fluid in group A, and 8 cases in group B ;5 cases of incision edge blister in group A and 9 cases in group B, the difference was not statistically significant（ P 〉 0.05 ）. There was no flap necrosis in group A and 5 cases in group B ; The postoperative length of group A was shorter than that of group B, the difference was statistically significant （ P 〈 0.05 ）. The flap necrosis was associated with subcutaneous fluid and incision edge blister. Conclusion The subdermal capillary network reserved in MRM can reduce flap necrosis rate.
出处
《实用癌症杂志》
2013年第6期652-653,共2页
The Practical Journal of Cancer
