背阔肌肌瓣填塞腋窝预防乳癌根治术后并发症

Clinical study on filling axillary fossa with muscular flap of latissimus dorsi for prevention of complication after radical operation of breast cancer

根据乳癌的不同分期采取不同的根治术后 ,再游离一带蒂背阔肌肌瓣 ,根据乳癌的不同术式取不同的长度填塞腋窝 (观察组 5 8例 )。与单纯根据乳癌的不同分期采取不同的根治术 (对照组 6 0例 )对比 ,结果显示观察组能明显改善血流缓慢情况 ,并且明显减少腋窝积液、上肢肿胀及上肢功能障碍的发生。提示该手术方法可明显降低术后并发症的发生率。

After distinct radical operations were performed according to different phases of breast cancer,a pdeiculated muscular flap of latissimus dorsi was dissociated and with which of varying length,axillary fossa was filled according to distinct operations(the observatiion group,n=58).By contrasting with those which only distinct radical operations performed acording to different phases of breast cancer(the control group,n=60),the result showed that the observation group could ameliorate obviously lowering of blood stream bolume and could reduce obviously incidence of axillary fossa hydrops,upper limb swelling and upper limb dysfunction than that of the control group.It suggested that the method of the observation group could reduce obviously incidence of postoperative complications.