期刊文献+

乳腺癌根治性手术后减少皮瓣坏死的病因研究及防治 被引量:2

Study on cause of skin flap necrosis after redical operation and the preventive measures of carcinoma of breast
下载PDF
导出
摘要 目的探讨乳腺癌术后皮瓣坏死的原因及预防措施,降低乳腺癌术后皮瓣坏死的发生率。方法对158例接受手术治疗的乳腺癌患者的临床资料进行总结,并分析了不同手术方式、皮瓣厚度、皮瓣张力和皮瓣坏死之间的关系。结果158例乳腺癌手术患者中,32例(20.25%)发生皮瓣坏死,薄皮瓣组的坏死率高于厚皮瓣组(分别为33.33%、10.87%,P<0.05)。在厚皮瓣组中,高张力皮瓣坏死率高于低张力皮瓣(分别为21.43%、2.00%,P<0.05);在薄皮瓣组,不同张力组之间,皮瓣坏死率差异没有显著性(P>0.05)。结论皮瓣薄、皮瓣张力高是导致乳腺癌术后皮瓣坏死的重要原因,合理的皮瓣厚度、无张力皮瓣缝合、防止淋巴管漏及术后单管多孔引流是预防皮瓣坏死的重要方法。 [Objective] To reduce the incidence of the skin flap necrosis. [Methods] Reviewed and analysed 158 patients with the breast cancer surgical treatment. Studied the relations between the thickness of the skin flap, tension of the skin flap, the mode of the operation and the necrosis of the skin flap. [Results] The results showed that 32 cases (20.25%) suffured from skin flap necrosis. The incidence of the flap necrosis in the thick skin flap group was lower than in the thin Skin flap group (10.87% vs 33.33%). In the thick skin flap group, the incidence of the flap necrosis in the high flap tension group was higher than in the low tension group (21.43% vs 2.00%). In the thin flap group, there was no significant difference between high tension group and low tension group. [ Conclusions] This study suggests that the key of the prevention of skin flap necrosis is proper thickness of the skin flap, perfect suture without tension, prevention of the axillary lymphatic leaking and single porous tubular drainage.
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2008年第18期2677-2679,2683,共4页 China Journal of Modern Medicine
关键词 乳腺癌 皮瓣坏死 根治性手术 breast cancer skin flap necrosis radical operation
  • 相关文献

参考文献8

  • 1陈国林,王凤军,薛英威,张岂凡,罗向前.乳腺癌根治术后皮瓣坏死的预防[J].中国实用外科杂志,2001,21(4):228-229. 被引量:198
  • 2赵殿昌.乳腺癌根治术后皮瓣坏死的原因与防治[J].实用外科杂志,1984,4(4):202-202.
  • 3李建章.431例乳腺癌术后早期并发症的研究[J].中华实验外科杂志,1995,12(4):11-11.
  • 4SHAMLEY DR, BARKER K, SIMONITE V, et al. Delayed versus immediate exercises following surgery for breast cancer: a systematic review [J]. Breast Cancer Res Treat, 2005, 90 (3): 263-271.
  • 5JAIN PK, SOW DI R, ANDERSON AD, et al. Randomized olinical trial investigating the use of drains and fibrin sealant following surgery for breast cancer [J]. Br J Surg, 2004, 91 (1): 54-60.
  • 6CHINTAMANI, SINGHAL V, SINJH J, et al. Half versus full vacuum suction drainage after modifide radical mastectomy for breast cancer -a prospective randomized clinical trial [J]. BMC Cancer, 2005, 5(1): 11.
  • 7DU J, TIAN M, WU J, et al. Prevention of sulautaneous water accumulation after ncdified radical maste~tomy [J]. China Journal of Modem Medicine, 2007, 17(6): 739-743. Chinese
  • 8殷庆章,向明,卢政荣,周娴.乳腺癌术后早期并发症158例临床分析[J].浙江临床医学,2001,3(3):151-152. 被引量:20

二级参考文献15

  • 1李建章,刘保池,李孟圈.431例乳腺癌术后早期并发症及其预防[J].河南医科大学学报,1993,28(2):171-173. 被引量:12
  • 2任长才,穆罕默德,朱锡琪,邹强,庄清萍.乳癌切除手术后近期并发症及其防治[J].上海医学,1994,17(3):152-153. 被引量:20
  • 3王振杰,卞加兴.乳癌根治术皮瓣处理体会[J].中国实用外科杂志,1994,14(7):443-444. 被引量:81
  • 4赵殿昌.乳癌根治术后皮瓣坏死的原因与防治[J].实用外科杂志,1984,5(4):202-202.
  • 5裘法祖.外科学,第4版[M].北京:人民卫生出版社,1996.414-415.
  • 6暨登航.乳癌根治术后皮瓣坏死59例早期处理体会[J].实用外科杂志,1986,6(11):596-596.
  • 7王新民.乳腺癌切除术后并发症的研究[J].中华实验外科学杂志,1995,12(4):11-12.
  • 8裘法祖,外科学(第4版),1996年,316页
  • 9林沛清,实用外科杂志,1992年,12卷,7期,371页
  • 10暨登航,实用外科杂志,1986年,6卷,11期,596页

共引文献231

同被引文献15

  • 1Gonzalez EA, Sahzstein EC, Riedner CS, et al. Seroma formation following breast cancer surgery[j]. Breast J, 2003,9(5):385-388.
  • 2Chintamani, Singhal V, et al. Half versus full vacuum suction drainage after modified radical mastectomy for breast cancer-a prospective randomized clinical trial[J]. BMC Cancer, 2005,27(5):11.
  • 3Dalberg K, Johansson H, et al. A randomised study of axillary drainage and pectoral fascia preservation after mastectomy for breast cancer[J]. Eur J Surg Oncol, 2004,30(6):602-609.
  • 4Martin ML, Hernandez MA, et al. Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema [J]. I]MC Cancer, 2011,11 (9):94.
  • 5He XD, Guo ZH, Tian JH, et al. Whether drainage should be used after surgery for breast cancer? A systematic review of randomized controlled trials[J].Med Oncol, 2010,9(9):125-132.
  • 6TANSLEY P, RAMSEY K, WONG S, et al. New treatment se- quence protocol to reconstruct rally advanced breast cancer[J]. ANZ J Surg, 2013, 23(2): 132-135.
  • 7HILLE U, SOERGEL P, ZARDO P, et al. Chest wall resection and reconstruction for locally advanced primary breast cancer[J]. Arch Gvnecol Obstet. 2012. 47(6): 357-361.
  • 8WIN AK, LINDOR NM, JENKINS MA. Risk of breast cancer in Lynch syndrome: a systematic review [J]. Breast Cancer Res, 2013, 15(2): 27.
  • 9TSUKADA T, NAKANO T, MATOBA M, et al. Locally advanced breast cancer made amenable to radical surgery afler a combina- tion of systemic therapy and Mohs paste: two case reports [J]. J Med Case Rep, 2012, 6(1): 360.
  • 10SAKKARY MA. The value of mastectomy flap fixation in reduc- ing fluid drainage and seroma formation in breast cancer palients [J]. World J Surg Oncol, 2012, 10(6): 8-11.

引证文献2

二级引证文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部