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就目前国内情况而言,乳腺癌的主要治疗手段仍然是根治性手术。但是,由于术后时常发生皮瓣下积液,严重影响病人的术后恢复及相关的后续治疗。本文结合我院1993年以来以电刀操作为主的乳腺癌根治性手术116例分析,仅就皮瓣下积液的预防措施及体会浅述如下。 1 临床资料 1.1 一般资料:本组116例病人为女性,年龄最小28岁,最大67岁。按照UICC法TNM分期:Ⅰ期12例,Ⅱ期89例,Ⅲ期15例,其中左侧62例,右侧54例。术前病理诊断(含术中冰冻切片病理检查结果):单纯癌43例,浸润性导管癌25例,浸润性导管癌伴单纯癌21例,髓样癌、大汗腺样癌、乳腺派杰氏病各3例,实性癌、管内癌、粘液癌、单纯癌伴高分化腺癌、类性癌各1例,其余13例系术前针吸细胞学检
For the current domestic situation, the main treatment for breast cancer is still radical surgery. However, because subcutaneous flap fluid often occurs after surgery, it seriously affects the patient’s postoperative recovery and related follow-up treatment. In this paper, 116 cases of radical mastectomy for breast cancer mainly operated by electrocautery in our hospital since 1993 were analyzed. The prevention measures and experience of fluid under the flap were briefly described as follows. 1 Clinical data 1.1 General information: 116 patients in this group were women, youngest 28 years old, maximum 67 years old. According to the UICC method TNM staging: 12 cases of stage I, 89 cases of stage II, 15 cases of stage III, including 62 cases on the left side and 54 cases on the right side. Preoperative pathological diagnosis (including intraoperative frozen section pathological examination results): 43 cases of simple carcinoma, 25 cases of invasive ductal carcinoma, 21 cases of invasive ductal carcinoma with simple carcinoma, medullary carcinoma, adenoid adenocarcinoma, breast Peggy’s There were 3 cases of each disease, including solid cancer, intraductal cancer, mucinous carcinoma, simple carcinoma with well-differentiated adenocarcinoma, and 1 type of carcinoma. The remaining 13 patients received preoperative needle aspiration cytology examination.