乳腺癌改良根治术后并发症的原因及防治措施

Cause and control measures of complication after modified radical mastectomy

目的探讨乳腺癌患者改良根治术后相关并发症发生原因及防治方法。方法回顾性对比分析常规组与改进组皮下积液、皮瓣坏死及患肢水肿原因及情况,提出可行性防治措施。结果改进组通过改善皮瓣游离、腋窝引流及伤口包扎等方式减少了临床皮下积液、皮瓣坏死及患肢水肿发生率,差异具有统计学意义(P<0.05)。结论乳腺癌改良根治术后并发症方式可通过手术方法改进减少,从而减轻患者痛苦。

Objective To explor the cause and prevention and control measures of complication after modified radical mastectomy. Methods The cause and case of subcutaneous fluidify, flap necrosis and upper limb lymphedema were ret- rospective comparative analysis between regular group and improving group. Then the feasibility of prevention and control measures were put forward. Results The incidence of subcutaneous fluidify, flap necrosis and upper limb lymphedema were lower by improving the methodes of free flap, axillary drainage and wound dressing in improving group. Conclusion The complications and pain of patients are reduced by improving methods of modified radical mastectomy.