乳腺癌改良根治术皮瓣厚度选择临床研究

目的探讨乳腺癌改良根治术皮瓣厚度选择,预防皮瓣坏死。方法选取该院于2009年9月—2011年9月收治的100例女性乳腺癌患者的临床资料,将其按照住院号尾号的奇偶分为治疗组和对照组,对照组40例,治疗组60例。治疗组应用改良根治术,对照组应用传统治疗方法。结果治疗组的坏死率为13.33%,对照组为27.50%,两组患者术后皮瓣坏死率比较,差异有统计意义(P<0.05)。结论选择合理的皮瓣厚度,皮瓣无张力缝合,利用双管引流及弹性绷带加压包扎患者的腋下和胸骨,能够降低皮瓣坏死的发生率。

Clinical Research of Flap Thickness Selection in Modified Radical Mastectomy of Breast Cancer

Objective This paper mainly studies the selection of flap thickness in modified radical mastectomy of breast cancer so as to prevent skin flap necrosis. Methods The clinical data of 100 cases of breast cancer patients admitted in our hospital from 2009 September to 2011 September were divided into treatment group and control group according to the parity of hospital tail number, with 40 cases in the control group and 60 cases the treatment group. The treatment group was given modified radical mastectomy, while the control group was given traditional treatment method. Results The skin flap necrosis rate postoperative was 13.33% in the treatment group, 27.50% in the control group, the difference between the two groups was significant, with statistical significance （P0.05）. Conclusion Choosing proper skin flap thickness, flap suture without tension, using double tube drainage and elastic bandage to dress the armpit and sternum with compression, can reduce the incidence rate of skin flap necrosis.