CAJ | 학술논문

目的探讨两种不同皮瓣分离方法在乳腺癌改良根治术中的应用效果。方法将我院2008年～2012年收治的117例乳腺癌改良根治术病患作为研究对象，随机分为研究组（59例）与对照组（58例）。其中，研究组采取手术刀刺皮分离的方法，而对照组则采用电刀分离的方法。对两组应用效果进行总结分析与对比。结果研究组在手术时间、术后引流量、并发症发生率等方面都少于对照组，而术中出血量则多于对照组；此外，两组病患术后并发症研究组要低于对照组。通过统计学处理分析可知，两组治疗相关效果差异性显著（P<0.05），具有统计学意义。结论对于乳腺癌改良根治术中，采用手术刀刺皮分离的方法明显优于采用电刀分离皮瓣的方法，值得临床推广及应用。
목적탐토량충불동피판분리방법재유선암개량근치술중적응용효과。방법 장아원2008년～2012년수치적117례유선암개량근치술병환작위연구대상，수궤분위연구조（59례）여대조조（58례）。기중，연구조채취수술도자피분리적방법，이대조조칙채용전도분리적방법。대량조응용효과진행총결분석여대비。결과 연구조재수술시간、술후인류량、병발증발생솔등방면도소우대조조，이술중출혈량칙다우대조조；차외，량조병환술후병발증연구조요저우대조조。통과통계학처리분석가지，량조치료상관효과차이성현저（P<0.05），구유통계학의의。결론 대우유선암개량근치술중，채용수술도자피분리적방법명현우우채용전도분리피판적방법，치득림상추엄급응용。
Objective: To investigate two different flap separating method radical application effect in the treatment of breast cancer modified.Methods: our hospital during 2008~2012 treated 117 cases of modified radical mastectomy for breast cancer patients as the research object, randomly divided into the study group (59 cases) and control group (58 cases).Among them, study group by operation knife husk separation, and the control group by electric knife separation method.Analysis and comparison of application effect of the two groups.Results: the study group in the operation time, postoperative drainage volume, complication rates are less than that of the control group, and the amount of bleeding is more than the control group; in addition, two patients had postoperative complications in study group is lower than that of control group.By statistical analysis, differences between the two groups of treatment effect significantly (P<0.05), with statistical significance.Conclusion: the modified radical mastectomy of breast cancer, by using the method of operation knife husk separation was better than that using electric knife skin separation method, is worth the clinical promotion and application.