可吸收线缝合皮瓣固定在乳腺癌改良根治术中的临床应用  

The clinical effect of skin flap fixation with absorbable suture in modified radical mastectomy of breast cancer

作　　者：周围[1] 王泽强[1] 郭琼[1] 廖妮[1] 胡壹[1] 

机构地区：[1]株洲市一医院乳腺外科,株洲412000

出　　处：《癌症进展》2013年第1期64-67,共4页Oncology Progress

摘　　要：目的评价可吸收线缝合皮瓣固定在乳腺癌手术中的临床应用的价值。方法将2011年4月至2012年4月我院收治的95例乳腺癌患者随机分为2组,一组行可吸收线缝合皮瓣固定(43例),另一组切口直接缝合(52例),比较2组患者术后的总引流量、皮下积液及皮瓣坏死的发生情况。结果可吸收线缝合皮瓣固定组的患者术后的总引流量为(302.7±50.7)ml,皮下积液发生率为14.0%,皮瓣坏死发生率为4.7%,切口直接缝合组的患者术后的总引流量为(483.5±56.8)ml,皮下积液发生率为32.7%,皮瓣坏死发生率为19.2%,两组患者术后的总引流量、皮瓣坏死及皮下积液发生率相比均有统计学差异(P<0.05)。结论采用可吸收线缝合皮瓣固定的方法可以明显减少乳腺癌改良根治术后皮下积液及皮瓣坏死的发生。Objective To evaluate the clinical effect of skin flap fixation with absorbable suture in modified radical mastectomy of breast cancer. Method From April 2011 to April 2012, 95 cases with breast cancer were randomized into 2 groups. One group （43 cases） was applied the technique of skin flap fixation with absorbable suture and another （ 52 ca- ses） followed the routine way to suture the wounds directly after modified radical masteetomy. Total volume of drainage, frequency of seroma formation and the incidence of skin flap necrosis were observed and compared between the 2 groups. Result Total volume of drainage, frequency of seroma formation and incidence of skin flap necrosis were （ 302. 7±50. 7 ） ml, 14.0% and 4.7% in skin flap fixation with absorbable suture group, and these observations in direct suture group were （483.5±56. 8） ml, 32. 7% and 19.2%, respectively. All the three aspects were significantly different when compared （ P 〈 0. 05 ）. Conclusion The technique of skin flap fixation with absorbable suture can reduce total volume of drainage, frequency of seroma formation and the incidence of skin flap necrosis after modified radical masteetomy of breast cancer.

关 键 词：可吸收线 皮瓣固定 乳腺癌 改良根治术 

分 类 号：R737.9[医药卫生—肿瘤]