三种方法修复乳腺癌术后皮瓣坏死

目的:探讨乳腺癌术后皮瓣坏死的治疗方法。方法:采用游离皮片移植、临近皮瓣转移修复和皮肤软组织扩张术修复17例皮瓣坏死的患者。结果:17例皮瓣坏死的病例中,采用游离皮片移植8例,运用背阔肌皮瓣修复2例,临近皮瓣转移修复4例,皮肤软组织扩张器修复3例,除1例全厚皮片移植出现小水疱,1例皮瓣转移修复远端皮瓣部分坏死,经换药等治疗后Ⅱ期愈合外,其余15例均效果良好。结论:乳腺癌术后皮瓣坏死病例,采用游离皮片移植、临近皮瓣转移、皮肤软组织扩张术修复,效果良好。

Three kinds of method to repair the skin flap necrosis after breast cancer operation

Objective To investigate the treatment of skin flap necrosis after breast cancer surgery. Methods Three methods were taken to repair the skin flap necrosis in 17 patients, such as free skin grafting, adjacent skin transtering and skin soft-tissue expansion. Results All cases were surgically treated and free skin grafting was performed in 8 cases, kuo myocutaneous flap in 2 cases, adjacent skin transtering in 4 cases and skin soft-tissue expansion in 3 cases. Beside small blister were found in 1 case treated by full-thickness skin graft and partial necrosis, which Ⅱ healing after changingdressings, appeared in a patient performed by adjacent skin transtering, the effect of other 15 cases were good. Conclusion The effects of free skin grafting, adjacent skin transtering and skin soft- tissue expansion were good in repairing skin flap necrosis after breast cancer surgery.