老年乳腺癌患者改良根治术后皮瓣坏死和皮下积液的防治  

Prevention and cure of flap necrosis and subcutaneous fluidify after modified radical correction in the elderly patients with breast cancer

作　　者：王蕾[1] 刘国津[1] 关亚欣[1] 付彤[1] 

机构地区：[1]吉林大学第一医院,吉林长春130021

出　　处：《中国老年学杂志》2008年第2期155-156,共2页Chinese Journal of Gerontology

基　　金：吉林省科技厅科技发展计划项目(200505188)

摘　　要：目的探讨老年乳腺癌患者改良根治术后皮瓣坏死和皮下积液的发生原因及处理方法。方法对173例行乳腺癌改良根治术的老年患者随机分为术后早期除去加压包扎组和术后持续加压包扎组,并对皮瓣坏死和皮下积液情况进行回顾性分析。结果术后早期除去加压包扎组的42例患者中没有发生皮瓣坏死的病例,有2例出现皮下积液;术后持续加压包扎组的131例患者发生皮瓣坏死7例,皮下积液36例。经适当处理及治疗后均在短期内治愈。结论通过合理的术前评估和正确的术中术后操作可以降低老年乳腺癌患者术后皮瓣坏死和皮下积液的发生率,同时积极的术后治疗可以短期内取得良好疗效。Objective To explore the causes and treatment of flap necrosis and subcutaneous fluidify after modified radical correction in the elderly patients with breast cancer. Methods 173 elderly breast cancer patients with modified radical correction from May 2005 to May 2007 were randomly into postoperation early removal of pressure dressing group and postoperation persistence of pressure dressing group to retrospectively analyze the flap necrosis and subcutaneous fluidify. Results None flap necrosis and 2 cases of subcutaneous fluidify in removal group （ n =42） and 7 cases of flap necrosis and 36 cases of subcutaneous fluidify in persistent group （ n = 131 ） were cured in the short period by appropriate treatment. Conclusions Appropriately preoperational evaluation and correct operation during and after operation could decrease the incidence rate of flap necrosis and subcutaneous fluidify of the elderly breast cancer patients. Postoperational treatment could achieve good therapeutic effect in short period.

关 键 词：老年乳腺癌 术后并发症 皮瓣坏死 皮下积液 

分 类 号：R737.9[医药卫生—肿瘤]