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本文报告采用不同于传统的 Halsted 术式,距肿瘤3～4cm 外保留皮下脂肪厚度不少于0.5cm 分离皮瓣,对体质消瘦的病人保留全部皮下脂肪的改良术式。对改良后术式58例进行分析,认为传统术式过分强调清除皮下脂肪,对防止肿瘤的转移和复发意义不大。改良后术式结合放、化疗及长期随访,疗效良好,并有效地克服了传统根治术易发生皮瓣坏死,防碍综合治疗的缺陷。
This article reports the use of different from the traditional Halsted operation, away from the tumor 3 ~ 4cm preserved subcutaneous fat thickness of not less than 0.5cm separation flap for weight loss in patients with preserved all the subcutaneous fat modified surgery. 58 cases of modified surgical analysis, that excessive emphasis on the traditional surgical removal of subcutaneous fat, to prevent the metastasis and recurrence of little significance. Modified combined with surgery, chemotherapy and long-term follow-up, good effect, and effectively overcome the traditional radical surgery prone to flap necrosis, hinder the comprehensive treatment of defects.