摘要
目的分析研究乳腺癌临床手术治疗及并发症的预防。方法总结分析80例乳腺癌外科手术治疗资料,根据不同的病理分期、年龄、肿瘤位置,选择手术方式及切口,其中改良式根治术38例,根治术42例。横梭形切口38例,纵拔形切口42例。结果临床甲级愈合74例,乙级愈合6例。轻度皮缘坏死4例,皮下积液3例,肩关工活动受限8例,上肢淋巴水肿8例。并发症发生率30%。结论Ⅰ ̄Ⅱ及Ⅲ期未侵及胸肌者以改良根治术为主,Ⅲ ̄Ⅳ期以根治术为主。无论何种术式都要在根治基础上兼顾预防并发症的发生,合理清扫腋窝淋巴结,减少上肢淋巴水肿。合理设计切口皮瓣,正确放置流管,预防皮下积液及皮瓣坏死。
Objective The analysis studies the prevention that clinical surgical operation treatment and complications in mammary cancer. Methods The summary analyzes 80 mammary cancer surgical operation the treatment the data, according to the different pathology dividing period?age?tumor position, choice surgical operation method and slice, among them the improving type surgical operation cures for good the 38 examples, radical treatment curing for good the 42 examples.The horizontal shuttle form slices 38 examples,the striated shuttle form slices 42 examples.Results The clinical first grade matches more 74 example, the second grade matches more 6 example. The light skin flap necrosis 4 examples, accumulative liquid of subcutanea 3 examples, the shoulder joint activity suffers to limit 8 example, 8 examples lymphedema in arms. Complications occurrence rate is 30%. Conclusion the period ofⅠ~Ⅱand Ⅲ did not infringe upon the chest muscle,then the improving type surgical operation is lord, the period of Ⅲ~Ⅳ is lord by radical treatment.regardless of the surgical operation type,to want to look after both sides the occurrence that prevent the complications in curing for good the foundation,the reasonable cleaning up the lymphoid knot in armpit, reducing lymphedema in arms. the reasonable designing slices a skin petal, to exactly place the flowing tube, the prevention of accumulative liquid of subcutanea and skin flap necrosis.
出处
《中国医药导报》
CAS
2006年第32期48-49,共2页
China Medical Herald
关键词
乳腺癌
手术治疗
并发症预防
Mammary cancer
Operative treatment
Complications prevention