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目的探讨乳腺癌改良根治术的皮瓣处理方法与术后并发症的关系。方法回顾性分析56例乳腺癌患者改良根治术的皮瓣游离范围及术后创面持续负压引流,皮瓣腋下、胸大肌铆钉固定情况。结果 56例患者中术后发生皮下积液3例(2例位于腋窝,1例位于胸壁),切口皮缘缺血坏死1例,皮缘血运不良3例,上肢淋巴性水肿(轻度)1例。结论乳腺癌改良根治术中对皮瓣恰当处理厚薄适当,包扎松紧适当,引流充分保持创腔持续负压吸引是防止皮瓣坏死、皮下积液的有效方法。
Objective To investigate the relationship between postoperative complications and flap management in modified radical mastectomy for breast cancer. Methods A retrospective analysis of 56 cases of breast cancer patients with modified radical mastectomy flap free area and sustained negative pressure drainage, flap armpit, pectoralis major rivet fixation. Results Among the 56 patients, subcutaneous fluid was found in 3 cases (2 in the axillary region and 1 in the chest wall), 1 case of necrosis of the skin on the incision, 3 cases of leucoma of marginal margin, and lymphedema (mild) 1 case. Conclusions In the modified radical mastectomy of breast cancer, appropriate treatment of the flap thickness properly, dressing properly, drainage to maintain a sustained negative pressure suction chamber is to prevent skin flap necrosis, subcutaneous fluid an effective method.