乳腺癌根治术切口选择对皮瓣愈合的影响  

Effect of incision type on skin healing in breast cancer with radical mastectomy

作　　者：李蔚[1] 崔亚洲[1] 

机构地区：[1]山东省青岛市人民医院乳腺科,山东青岛266001

出　　处：《中国肿瘤临床与康复》2003年第3期233-234,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的 研究乳腺癌根治术切口对皮瓣愈合的影响。方法 回顾分析了1986～2001年680例乳腺癌根治术患者,选择不同的手术切口对皮瓣坏死的发生率及皮瓣愈合的影响。结果1986～1994年间手术采用纵切口312例,皮瓣坏死106例(34.0％);1995～2001年间手术采用横切口368例,皮瓣坏死19例(5.2％)。结论 手术行纵切口的皮肤张力较大、血运障碍是皮瓣坏死发生率较高的主要原因;而横切口皮肤由于纵向张力的缓冲,皮肤张力减低,皮瓣血运良好,切口一期愈合率明显提高。Objective To evaluate the effect of incision type on skin healing in breast cancer with radical mastectomy.Method A retrospective study was performed in 680 breast cancer patients from 1986 to 2001 to compare the skin flap necrosis and healing in different incision type groups. Result There hundreds and twelve patients with longtitude dirrection incision showed a higher rate of skin flap necrosis (34.0%) than those with transection dirrection incision(5.2% ) . Conclusion Transection dirrection incision is advisable for radical mastectomy for its advantage in relieving skin tension and improving ischemia of insion compared with traditional longtitude dirrection incision.

关 键 词：乳腺癌 根治术 切口选择 皮瓣愈合 皮瓣坏死 

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