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乳腺癌根治术后皮瓣坏死原因及预防措施探讨
引用本文:林江,高翠霞,崔立春,宋同勋,季志刚.乳腺癌根治术后皮瓣坏死原因及预防措施探讨[J].中国肿瘤临床与康复,2003,10(4):327-328.
作者姓名:林江  高翠霞  崔立春  宋同勋  季志刚
作者单位:山东省胶州中心医院,266300
摘    要:目的 探讨乳腺癌术后皮瓣坏死的原因及预防皮瓣坏死的新方法。方法 将1990~1999年420乳腺癌病例分为对照组和实验组,将其手术方法进行对比研究。结果 前6年对照组皮瓣坏死率为43.3%,后4年实验组皮瓣坏死率为11.8%。经统计学处理,两组差异有显著性(P<0.01)。结论 实验组的新措施对预防乳腺皮瓣坏死有重要作用,真皮层血管网的损伤是皮瓣坏死的根本原因。

关 键 词:乳腺肿瘤/外科学  皮瓣坏死  预后
文章编号:1005-8664(2003)04-0327-02
修稿时间:2002年7月10日

Study on cause of skin flap necrosis after radical operation of carcinoma of breast and the preventive measures
LIN Jiang,GAO Cui-xia,CUI Li-chun,et al.Study on cause of skin flap necrosis after radical operation of carcinoma of breast and the preventive measures[J].Chinese Journal of Clinical Oncology and Rehabilitation,2003,10(4):327-328.
Authors:LIN Jiang  GAO Cui-xia  CUI Li-chun  
Abstract:Objective To study the causes of skin flap necrosis after the radical operation of carcinoma of breast and the new methods of preventions of skin flap necrosis. Methods four hundreds and twenty cases of breast carcinoma(during ten years from 1990 to 1999) were divided into treatment group (group 1) and control group(group 2).The methods of operation were compared between the treatment group and control group. Results The skin-flap necrosis rate of group 2 was 43.3% (90/208),and that of group 1 was 11.8% (25/212), with a significant difference between the two groups (P < 0.01). Conclusion The new methods used in group 1 can prevent skin flap necrosis.Injures of the blood vessel network in dermis is the primary cause of skin flap necrosis.
Keywords:Breast neoplasms/surgery  Skin flap necrosis  Prognosis
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