摘要
目的:探讨乳癌术后皮瓣坏死的原因、预防及治疗。方法:对我院2001年1月至2008年1月手术治疗的139例乳腺癌病人的临床资料进行回顾性分析。结果:139例乳腺癌病人术后发生皮瓣坏死39例,发生率占28.1%。结论:乳癌术后皮瓣坏死的主要措施有术中保护皮瓣血运,术后适当胸部加压包扎,保持引流管通畅等。出现皮瓣坏死时,及时剪除换药、力争切除缝合、必要时植皮,可减少病人痛苦,缩短病人住院时间。
Objective ： To study the cause, prophylaxis and therapy of skin flap necrosis following operation on breast cancer. Methods： The clinical data of 139 cases of breast cancer who received operation from March 2001 to March 2008 were analyzed retrospectively. Results： Among the 139 patients with breast cancer who received surgical treatment, the skin flap necrosis was found in 39 eases and the necrosis rate was 28.1%. Conclusion： The causes of skin flap necrosis are variable. To prevent necrosis, measures should be taken to give the blood transport to the skin flap, properly dress the chest with pressure and adequately drainage of the liquid under skin flap. When the skin flap necroses, the necrostic tissue must be removed in time. We can suture the incision again or perform the skin transplantation.
出处
《包头医学院学报》
CAS
2008年第5期490-491,共2页
Journal of Baotou Medical College
关键词
乳腺癌
皮瓣坏死
手术
Breast cancer
Skin flap necrosis
Operation
