乳腺癌术后皮下积液与皮瓣坏死的防治

Prevention and treatment of subcutaneous hydrops and skin flap necrosis of breast cancer after operation

目的探讨乳腺癌手术后皮下积液与皮瓣坏死的原因及防治措施。方法手术治疗乳腺癌患者86例,对皮下积液与皮瓣坏死的产生原因进行回顾性分析,提出预防和处理措施。结果 86例中术后发生皮下积液8例,皮瓣坏死10例,其中皮下积液与皮瓣坏死合并发生5例。结论手术前合理的设计切口、术中仔细操作、术后精心护理,认真处理每一个细节,才能切实降低乳腺癌术后皮下积液与皮瓣坏死的发生率,使患者及时进行后续治疗。

Objective To investigate the causes and preventive measures of subcutaneous hydrops and skin flap necrosis of breast cancer after operation.Methods The causes of subcutaneous hydrops and skin flap necrosis of 86 cases of breast cancer by means of surgical treatment were retrospectively analyzed,and given the prevention and treatment methods.Results In the 86 patients,8 cases were subcutaneous hydrops,10 cases were skin flap necrosis,and 5 cases were subcutaneous hydrops combined with skin flap necrosis.Conclusion With reasonable designing the operation incision,careful operation,serious nursing and perfect details,the incidence of subcutaneous hydrops and skin flap necrosis should be reduced to a minimum,and patients should be receive timely follow-up treatment.