乳腺癌改良术后皮瓣坏死的手术治疗(附39例)  

Surgical opreation for necrotic skin flap after improved breast cancer surgery

作　　者：凤雷[1] 张恒刚[1] 

机构地区：[1]汉中市人民医院肿瘤外科,陕西汉中723000

出　　处：《现代肿瘤医学》2013年第1期103-105,共3页Journal of Modern Oncology

摘　　要：目的:探讨乳腺癌术后并发皮瓣坏死的治疗时机及手术治疗效果。方法:回顾性分析2006年5月至2011年5月本科收治的乳腺癌术后39例合并部分皮瓣坏死的临床资料。其中手术治疗组21例、保守治疗组18例。观察两组伤口愈合时间、拔管时间、抗感染时间。结果:手术治疗组伤口愈合时间为17.86±5.20d,保守组为32.53±3.67d,差异有统计学意义(P<0.05);手术组拔管时间为11.93±1.81d,保守组为21.11±2.37d,差异有统计学意义(P<0.05);手术组抗感染时间为7.81±1.26d,保守组为13.11±2.40d,差异有统计学意义(P<0.05)。各项指标手术组均低于保守治疗组。结论:乳腺癌改良术后皮瓣坏死的患者手术治疗效果显著高于保守治疗效果。因此对于乳腺癌改良术后发生皮瓣坏死的患者应尽早手术治疗。Objective：To explore the treatment time and value of surgical opreation for necrotic skin flap after im- proved breast cancer surgery. Methods：Total of 39 cases of necrotic skin flap＇s surgical opreation after breast cancer surgery were retrospectively analyzed ,21 cases were treated by surgical operation and 18 cases were treated by conser- vational treatment. Wound healing time, the extubation time, and anti - infection time were observed. Results： The mean wound healing time was 17.86 ± 5.20 days in the surgical treatment group, and 32.53±3.67 days in the con- servational treatment group, （P 〈 0.05 ）. The mean extubation time was 11.93 ± 1. 81 days in the surgical treatment group, and 21.11± 2.37 days in the conservational treatment group, （ P 〈 0.05 ）. The mean anti - infection time was 7.81 ± 1.26 days in the surgical treatment group, and 13.11 ± 2.40 days in the conservational treatment group, （ P 〈 0. 05 ）. Conclusion： The effect of necrotic skin flap after improved breast cancer surgery treated by surgical method is significantly better than the conservational method. For the patients who suffer necrotic skin flap after improved breast cancer surgery should be treated in surgical operation as soon as possible.

关 键 词：皮瓣坏死 乳腺癌改良术 手术治疗 

分 类 号：R737.9[医药卫生—肿瘤]