乳腺癌术后皮下积液及皮瓣坏死的防治体会(附62例报告)  

Prevention and treatment of accumulative liquid of subcutaneous and skin flap necrosis after operation on breast cancer

作　　者：张爱民[1] 王建华[1] 侯俊明[1] 田博[1] 聂娜[1] 

机构地区：[1]陕西中医学院,陕西咸阳712000

出　　处：《现代肿瘤医学》2009年第2期251-253,共3页Journal of Modern Oncology

摘　　要：目的:探讨降低乳腺癌术后皮下积液及皮瓣坏死的发生率及其预防方法。方法:对62例乳腺癌患者采取合理的切口设计、正确的皮瓣游离及保护、于腋下及胸骨旁双管引流、皮瓣无张力缝合及合适的胸带包扎等措施。结果:62例中发生皮下积液11例,发生率为17.7%;皮瓣坏死8例,发生率为12.9%;其中皮下积液伴皮瓣坏死6例,发生率为9.6%。结论:预防乳腺癌术后皮下积液及皮瓣坏死的关键是合理的切口设计、正确的皮瓣游离及保护、于腋下及肋弓处置双管引流、适当张力的皮瓣缝合及合适的胸带包扎、科学的护理等。Objective： To investigate how to reduce the incidence and the prevention of accumulative liquid of subcutaneous and skin flap necrosis after operation on breast cancer. Methods： For 62 breast cancer patients follouing measures were taken： reasonable incision design, fight skin flap flow and protection, drainage with two tubes in armpit and parasternum suture of skin flap without tension and bandage the sternum appropriately. Results： Eleven of 62 patients occurred accumulative liquid of subcutaneous, the incidence was 17. 7% ;8 cases occurred skin flap necrosis, the incidence was 12.9%, in which 6 cases were accumulative liquid of subcutaneous accompanied with skin flap necrosis, the incidence was 9.6%. Conclusion：The key points of preventing accumulative liquid of subcutaneous and skin flap necrosis after operation on breast cancer are reasonable incision design, right skin flap flow and protection, two - tube drainage in armpit and rib, suture of skin flap with appropriate tension and bandage the sternum properly.

关 键 词：乳腺癌 乳腺癌根治术 皮下积液 皮瓣坏死 

分 类 号：R737.9[医药卫生—肿瘤]