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乳癌根治术后皮瓣坏死的发生率较高,而术后辅助化疗又宜早期进行,化疗对创面的愈合究竟有无影响,在临床上意见亦不一致。我院自1989年6月至1995年5月,共进行403例乳癌根治术,其中124例有皮瓣坏死,我们将其分为化疗组与未化疗组就创面愈合情况进行观察比较,现将结果报道如下。 1 临床资料 1.1 化疗组发生皮瓣坏死情况共74例,其中女性73例,男性1例,年龄28～82岁。手术方式包括为:乳癌根治术54例(73%),扩大根治术10例(13.5%),简化根治术8例(10.8%),
The incidence of flap necrosis after radical mastectomy is higher, and postoperative adjuvant chemotherapy is appropriate. Chemotherapy has no effect on the healing of wounds and there are inconsistencies in clinical opinion. In our hospital from June 1989 to May 1995, a total of 403 cases of radical mastectomy were performed. Among them, 124 cases had flap necrosis. We divided them into chemotherapy group and non-chemotherapy group to compare the wound healing situation. The results are reported below. 1 Clinical data 1.1 There were 74 cases of flap necrosis in the chemotherapy group, including 73 cases of females and 1 case of males, aged 28 to 82 years. The surgical methods included 54 cases (73%) of radical mastectomy, 10 cases (13.5%) of radical mastectomy, and 8 cases (10.8%) of radical mastectomy.