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改良乳腺癌根治术后皮瓣坏死的预防
引用本文:张兴华.改良乳腺癌根治术后皮瓣坏死的预防[J].岭南现代临床外科,2005,5(3):179-180,183.
作者姓名:张兴华
作者单位:天津市蓟县人民医院普外科,天津,301900
摘    要:目的 探讨如何降低改良乳腺癌根治术后皮瓣坏死的发生率。方法 902例采用改良乳癌根治术患者被分为2组。1987至1995年的434例是作为对照组,而1996至2004年是作为研究组。对两组间术后皮瓣坏死情况进行对比研究。结果 对照组术后皮瓣坏死率是23.7%,而研究组是4.5%,两组之间有显著差异(P〈0.05)。结论 预防改良乳癌根治术后皮瓣坏死的关键是合理的皮瓣厚度,避免皮瓣张力,防止淋巴管漏,有效双管引流,合适包扎。

关 键 词:乳腺癌  皮瓣坏死  乳癌改良根治术
文章编号:1009-976X(2005)03-0179-02
收稿时间:2005-03-09
修稿时间:2005年3月9日

Prevention of skin flap necrosis following modified radical operation of breast cancer
ZHANG Xing-hua.Prevention of skin flap necrosis following modified radical operation of breast cancer[J].Lingnan Modern Clinics in Surgery,2005,5(3):179-180,183.
Authors:ZHANG Xing-hua
Abstract:compared between the two groups.Results The incidences of postoperative necrosis of skin flaps were 23.7% and 4.5% in the control group and study group respectively.There was significant diffemee between the two groups. Conclusion In the modified radical operation of breast cancer, the keys to prevent the necrosis of skin flap are proper thickness of skin flap,perfect suture without tension, prevention of lymphatic leakage, effective double tube drainage and suitable bandaging.
Keywords:Breast cancer  Necrosis of skin flap  Modified radical operation of breast cancer
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