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目的探讨手术刀片游离皮瓣与全程电刀游离皮瓣对乳腺癌术后相关并发症的影响。方法选择我院2008年3月至2011年3月乳腺癌患者112例,上述患者均经病理组织学检查证实。患者均为女性。上述患者分为两组,观察组和对照组。两组患者均实施乳腺癌Auchincloss改良根治术。对照组采用全程电刀游离皮瓣,观察组采用手术刀片游离皮瓣。记录两组患者中皮下积液、皮瓣切口边缘坏死情况。结果观察组术后皮下积液发生率及皮瓣切口边缘坏死发生率显著低于对照组,差异有统计学意义(P<0.05)。结论采用手术刀片游离皮瓣行乳腺癌根治术,患者术后皮下积液、皮瓣切口边缘坏死发生率显著降低,临床效果显著。
Objective To investigate the effect of free flaps of surgical blades and electrosurgical free flaps on postoperative complications of breast cancer. Methods One hundred and twenty patients with breast cancer from March 2008 to March 2011 in our hospital were selected. All patients were confirmed by histopathological examination. Patients are female. The above patients were divided into two groups, the observation group and the control group. Both groups of patients underwent modified Auchincloss radical mastectomy. In the control group, the entire electric knife free flap was used, and the observation group used the free flap of the surgical blade. The subcutaneous effusion and flap necrosis at the edge of the flap were recorded in both groups. Results The incidence of subcutaneous effusion and the incidence of necrosis at the edge of the incision in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). Conclusions The free radical flap of the surgical blade can be used for radical mastectomy. The incidence of subcutaneous effusion and edge necrosis of the flap after incision is significantly reduced. The clinical effect is significant.