CAJ | 학술논문

目的：探讨乳腺癌根治术后皮下积液积皮瓣坏死的预防和治疗方法。方法：选择手术治疗乳腺癌患者150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：150例乳腺癌患者均行改良根治术，其中10例发生皮下积液，1例发生部分皮瓣坏死，1例发生皮下感染积脓，皮瓣并发症发生率为8.0%，经穿刺、切开置管引流、早期切除坏死皮瓣植皮等治疗，患者均痊愈出院，治愈率为100%。结论：手术中切口的选择、合适的皮瓣游离厚度、电刀的合理使用、彻底的创面止血、有效的引流，可以显著地降低乳腺癌根治术后皮下积液、皮片坏死的发生率，早期发现、及时引流是治疗皮下积液积、皮瓣坏死的关键。
목적：탐토유선암근치술후피하적액적피판배사적예방화치료방법。방법：선택수술치료유선암환자150례，대피하적액여피판배사적산생원인진행회고성분석，제출예방화처리조시。결과：150례유선암환자균행개량근치술，기중10례발생피하적액，1례발생부분피판배사，1례발생피하감염적농，피판병발증발생솔위8.0%，경천자、절개치관인류、조기절제배사피판식피등치료，환자균전유출원，치유솔위100%。결론：수술중절구적선택、합괄적피판유리후도、전도적합리사용、철저적창면지혈、유효적인류，가이현저지강저유선암근치술후피하적액、피편배사적발생솔，조기발현、급시인류시치료피하적액적、피판배사적관건。
Objective To explore the prevention and treatment of subcutaneous hydrops after radical mastectomy product skin flap necrosis in breast cancer.Methods 150 cases of operation in patients with breast cancer,the causes of subcutaneous hydrops and skin flap necrosis were retrospectively analyzed,the prevention and treatment measures are proposed.Results 150 cases of patients with breast cancer underwent modified radical mastectomy,10 cases of subcutaneous hydrops occurred in 1 cases,partial necrosis of the flap,subcutaneous infection empyema occurred in 1 cases,flap complication rate was 8%,drainage,early excision of necrotic flap skin grafting in treatment of catheter after puncture,incision,the patients were cured,the cure rate 100%.Conclusion The operation incision selection,suitable flap thickness,the rational use of electric knife,thoroughly hemostatic,effective drainage,can significantly reduce the subcutaneous effusion after radical mastectomy of breast cancer,skin necrosis,early detection,timely treatment is the key of subcutaneous effusion drainage area,skin flap necrosis.