乳腺癌改良根治术后顽固性皮下积液手术修复的效果

Effect of surgical repair of refractory subcutaneous effusion after modified radical mastectomy for breast cancer

  • 摘要:
      目的  探讨乳腺癌改良根治术后顽固性皮下积液的手术修复效果。
      方法  本科室采用手术方法修复乳腺癌改良根治术后形成的顽固性皮下积液11例,手术采用去除皮下积液空腔囊壁、空腔内留置引流管并接持续负压吸引、空腔外用荷包加压固定等手段。
      结果  10例患者一期治愈, 1例皮瓣与基底未贴合,二期行扩创手术与自体皮移植手术后修复。11例患者术后均随访3个月,术区皮瓣与基底粘合紧密,皮下积液未复发,皮瓣无坏死与缺损。
      结论  应用手术方法修复乳腺癌改良根治术后顽固性皮下积液安全有效,操作方便。

     

    Abstract:
      Objective  To investigate the effect of surgical operation in repairing refractory subcutaneous effusion after modified radical mastectomy for breast cancer.
      Methods  A total of 11 cases with refractory subcutaneous effusion after modified radical mastectomy conducted surgical operation in our department. The specific surgical procedures were conducted for removal of the subcutaneous effusion cavity wall, placement of drainage tube in the cavity and continuous negative pressure suction, pressure fixation outside the subcutaneous effusion cavity.
      Results  Ten cases were cured in one stage. The skin flap of 1 case did not adhere to the chest wall after the first operation, and was repaired after wound expansion and autologous skin transplantation in the second-stage operation. The 11 cases were followed up for 3 months, and follow-up results revealed that adhesion between the skin flap and the chest wall was tight, without re-occurrence of subcutaneous effusion, necrosis or defect in the skin flaps.
      Conclusion  It is both safe and effective to repair refractory subcutaneous effusion after modified radical mastectomy for breast cancer by the surgical operation.

     

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