乳腺癌患者改良根治术后发生皮瓣坏死的高危因素Logistic回归分析  

Logistic Regression Analysis of High Risk Factors for Skin Flap Necrosis after Modified Radical Mastectomy in Breast Cancer Patients

作　　者：高登旺[1] GAO Dengwang(Department of Breast Surgery,Jinan Third People's Hospital,Jinan 250000,China)

机构地区：[1]济南市第三人民医院甲乳外科,山东济南250000

出　　处：《反射疗法与康复医学》2024年第23期100-102,106,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析乳腺癌患者改良根治术后皮瓣坏死发生的高危因素。方法选取2021年6月—2024年6月济南市第三人民医院收治的96例行改良根治术的乳腺癌患者为研究对象,统计其术后皮瓣坏死的发生率;另收集患者的一般资料,探讨影响其术后皮瓣坏死发生的危险因素。结果96例行改良根治术治疗的乳腺癌患者中,皮瓣坏死发生组17例,未发生组79例,皮瓣坏死发生率为17.71%;两组年龄、肿瘤直径、病理类型、临床分期比较,组间差异无统计学意义(P>0.05);两组体质指数(BMI)、糖尿病史、包扎方式、皮瓣厚度、病灶部位、切口类型比较,组间差异有统计学意义(P<0.05);Logistic回归分析显示,BMI>24 kg/m^(2)、有糖尿病史、加压包扎、薄皮瓣、外侧象限病灶、斜切口是乳腺癌患者改良根治术后皮瓣坏死发生的危险因素(OR>1,P<0.05)。结论BMI>24 kg/m^(2)、有糖尿病史、加压包扎、薄皮瓣、外侧象限病灶、斜向切口是乳腺癌患者改良根治术后皮瓣坏死发生的高危因素。Objective To analyze the high risk factors of skin flap necrosis in patients with breast cancer after modified radical mastectomy.Methods Ninety-six breast cancer patients who underwent modified radical mastectomy in Jinan Third People's Hospital from June 2021 to June 2024 were selected as the research objects,and the incidence of postoperative skin flap necrosis was analyzed.In addition,the general information of patients were collected to explore the risk factors affecting the occurrence of postoperative flap necrosis.Results In 96 patients with breast cancer who underwent modified radical mastectomy,17 cases occurred skin flap necrosis,79 cases did not occur,the incidence of skin flap necrosis was 17.71%;there was no significant difference in age,tumor diameter,pathological type and clinical stage between the two groups(P>0.05);there were significant differences in body mass index(BMI),diabetes history,dressing method,skin flap thickness,lesion site and incision type between the two groups(P<0.05);Logistic regression analysis showed that BMI>24 kg/m^(2),history of diabetes,pressure bandaging,thin skin flap,lateral quadrant lesion,and oblique incision were risk factors for flap necrosis after modified radical surgery for breast cancer patients(OR>1,P<0.05).Conclusion BMI>24 kg/m^(2),history of diabetes,pressure bandaging,thin skin flap,lateral quadrant lesion,oblique incision are the high risk factors for skin flap necrosis after modified radical mastectomy for breast cancer patients.

关 键 词：乳腺癌 改良根治术 皮瓣坏死 高危因素 

分 类 号：R737.9[医药卫生—肿瘤]