乳腺癌术后皮瓣坏死与切口选择关系的分析  

Discussion about the relation between incision types and mastocarcinoma postoperative necrosis of skin flap

作　　者：蒋勇敢[1] 余东升[1] 

机构地区：[1]东南大学附属南京江北人民医院普外科,210048

出　　处：《临床外科杂志》2003年第3期149-150,共2页Journal of Clinical Surgery

摘　　要：目的 探讨乳癌切口类型对皮瓣血供的影响。方法 对50例行乳癌手术者,采用纵形切口10例,斜形切口24例,横形切口16例。比较各切口患者皮瓣坏死发生率。结果 皮瓣坏死斜切口患者发生率(45.83％)明显比纵切口(10％)及横切口(6.25％)患者发生率高,差异有显著性(x^2=9.4811,P<0.01)。结论 乳癌切口选择宜顺应胸前皮肤血供分布规律,横切口和纵切口是合适的选择,而斜切口则应尽量避免。Objective To evaluate the influence, which different incision types have on the blood supply of skin flap among the mastocarcinoma patients. Method Review correlative documents and give a retrospective analysis to the necrosis incidence of skin flap in 50 patients who selected three different incision types. Results The necrosis incidence of skin flap in the patients who selected oblique incision was higher significantly than that of those who selected the transverse incision and longitudinal incision. There was a significant difference in statistics (x2 = 9. 4811, P < 0.01) . Conclusions The incision selection about mastocarcinoma should follow the regularity of vascular distribution in the anterior pictorial region. Transverse incision and longitudinal incision are the first selection because of very low necrosis incidence of skin flap, and oblique incision should be avoided as far as possible.

关 键 词：乳腺肿瘤 皮瓣坏死 切口 

分 类 号：R737.9[医药卫生—肿瘤]