| 乳腺癌根治术后皮瓣坏死的预防 |
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| 引用本文： | 陈正荣,张宇. 乳腺癌根治术后皮瓣坏死的预防[J]. 淮海医药, 2008, 26(1): 15-16 |
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| 作者姓名： | 陈正荣 张宇 |
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| 作者单位： | 安徽省淮北市人民医院,急救中心,235000 |
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| 摘 要： | 目的探讨降低乳腺癌根治术后皮瓣坏死的发生率方法。方法对35例采用预防皮瓣坏死新方法的乳腺癌根治术病例进行了研究。结果乳腺癌根治术后的皮瓣坏死率下降明显。结论预防乳腺癌根治术后皮瓣坏死的关键是：防止腋下淋巴管瘘，腋下胸骨旁置双管引流，合适的胸带包扎力，切口选择，合理的皮瓣厚度及皮瓣缝合不能有张力。
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| 关 键 词： | 乳腺肿瘤 皮瓣坏死 外科手术 |
| 文章编号： | 1008-7044(2008)01-0015-02 |
| 修稿时间： | 2007-05-17 |
Prevention of skin flap necrosis following eradicative operation of breast cancer |
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| CHEN Zheng-rong,ZHANG Yu. Prevention of skin flap necrosis following eradicative operation of breast cancer[J]. Journal of Huaihai Medicine, 2008, 26(1): 15-16 |
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| Authors: | CHEN Zheng-rong ZHANG Yu |
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| Affiliation: | . ( De- partment of Emergency, People＇s Hospital of Huaibei ,Anhui 235000, China ) |
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| Abstract: | Objective To study how to reduce the incidence rate of skin necrosis after the eradicative reseetion of breast cancer.Mechods 35 patients with breast cancer underwent eradicative operation and the methods to prevent the necrosis of skin flap were studied.Results With the new methods adopted,the necrosis rate of skin flap following eradicative operation of breast cancer was reduced.Conclusion In the eradicative operation of breast cancer,the key to the prevention of the necrosis rate of skin flap is:prevention of subaxillary lymphatic fistula,two tubular drainages set individully in subcostae and parasternum,appropriate force of chest bandaging,the incision selection,proper thickness of skin flap and perfect suture without tension. |
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| Keywords: | Breast neoplasms Necrosis of skin flap Surgical procedures operative |
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