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乳腺癌术后常见并发症的预防及处理体会

Clinical prevention and treatment for postoperation complications of mastectomy in breast cancer

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【作者】 宋少伟王勇蔡长友赵卫东王新军卜智斌张永辉

【Author】 SONG Shao-wei,WANG Yong,CAI Chang-you,ZHAO Wei-dong,WANG Xin-jun,BU Zhi-bin,ZHANG Yong-hui Oncology Department of Central Hospital of Weinan City,Weinan 714000,China

【机构】 陕西渭南市中心医院肿瘤外科

【摘要】 目的:探讨乳腺癌术后并发症发生的原因、预防及处理措施。方法:对2004年-2006年手术治疗186例乳腺癌患者资料进行回顾性分析总结,分析发生并发症的原因,提出预防和处理措施。结果:186例乳腺癌术后并发症发生率为24.7%,其中皮瓣坏死14例(7.5%),皮下积液11例(5.9%),患侧上肢轻度肿胀21例(11.3%),经治疗均获痊愈。结论:手术前合理的设计切口,术中仔细操作,适当加压包扎,保持引流负压通畅,术后合理上肢康复训练,对于乳癌根治术后皮下积液、皮瓣坏死、上肢淋巴水肿的防治十分重要,可使乳癌术后并发症的发生降低,使患者及时进行后续治疗。

【Abstract】 Objective:To study the causes and management of the complications after breast cancer operation.Methods:Data of 186 surgical treated breast cancer patients between 2004 and 2006 were studied retrospectively,to find the causes of postoperative complications and measures of prevention and management.Results:Occurrence of postoperative complications in 186 breast cancer patients was 24.7%,including epidermal necrosis in 14 cases(7.5%),liquid accumulated under epiderm in 11(5.9%),light degree swell of the illed lateral upper arm in 21(11.3%),all were cured after treatment.Conclusion:Reasonable designing the operation incision,careful operation,wrapping up with pressure and functional exercise are very important for treating subcutaneous liquid,skin flap necrosis and swelling of upper lateral arm.

【关键词】 乳腺癌手术并发症预防处理
【Key words】 breast canceroperationcomplicationspreventionmanagement
  • 【文献出处】 现代肿瘤医学 ,Journal of Modern Oncology , 编辑部邮箱 ,2008年09期
  • 【分类号】R737.9
  • 【被引频次】8
  • 【下载频次】262
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