乳腺癌改良根治术38例临床分析  

Modified Radical Mastectomy in 38 Cases

作　　者：曾春辉[1] 王道勤 赵豹[1] 董磊[1] 

机构地区：[1]皖北煤电集团总医院外三科,安徽省宿州市234000

出　　处：《中华全科医学》2013年第4期565-566,共2页Chinese Journal of General Practice

摘　　要：目的探讨乳腺癌改良根治术的手术方法及术后常见并发症的原因、预防、处理方法。方法回顾性分析2009年2月-2011年12月在皖北煤电集团总医院接受乳腺癌改良根治术38例患者的临床资料,总结手术技巧及并发症的预防与处理。结果 38例患者共清扫淋巴结449枚,平均每例11.8枚,检出阳性淋巴结68枚,阳性率15.1%;术后皮瓣坏死2例(5.3%),皮瓣下积液1例(2.7%);无患侧上肢淋巴水肿和患侧上肢活动障碍;无胸壁塌陷、胸肌萎缩等并发症。结论改良根治术是目前乳腺癌外科治疗的主要方法,疗效确切;术中规范操作,术后适当加压包扎,保持负压通畅,可以有效地防治乳腺癌改良根治术后各种并发症。Objective To investigate the reasons of modified radical mastectomy surgical methods and postoperative complications,prevention and treatment methods.Methods A retrospective analysis was conducted among 38 patients accepted a modified radical mastectomy in our hospital from February 2009 to December 2011,clinical data of the prevention and treatment of surgical techniques and complications was summarized.Results Of 38 patients with a total of 449 lymph node dissection,with an average of 11.8 per patient,68 lymph nodes were detected positive,with the positive rate of 15.1%;flap necrosis in 2 cases（5.3%）,subepithelial effusion in 1 case（2.7%）;with no upper limb lymph edema and upper limb movement disorder,chest wall collapsed chest muscle atrophy and other complications.Conclusion Modified radical mastectomy was the main method of surgical treatment of breast cancer,with the curative effect.Standardize operations,the postoperative properly bandaged and keep negative pressure unobstructed can effectively prevent postoperative complications of modified radical in patients with breast cancer.

关 键 词：乳腺癌 改良根治术 分析 

分 类 号：R737.9[医药卫生—肿瘤] R730.56[医药卫生—临床医学]