目的探讨乳癌术后皮瓣坏死的原因、预防及治疗。
Objective To study the cause, prophylaxis and therapy of skin flap necrosis following operation of breast cancer.
目的：探讨乳癌术后皮瓣坏死的原因、预防及治疗。
Objective:To study the cause, prophylaxis and therapy of skin flap necrosis following operation on breast cancer.
目的：研究乳腺癌根治术后皮瓣坏死创面的修复方法。
Objective To probe for the repair of the wounds of patients with flap necrosis after radical mastectomy.
前言：目的：探讨预防乳腺癌根治手术皮瓣坏死的临床体会。
Objective: To sum up the experience with MEBO in preventing necrosis of flaps post radical operation of breast cancer.
目的：探讨防治乳腺癌改良根治术后大块皮瓣坏死的理想方法。
Objective:To explore the prevention and treatment of skin flap necrosis after modified radical mastectomy.
而对照组中有6例术后出现皮瓣坏死，导致假体移拉或外露，手感欠佳。
Skin flap putrescence in 6 cases of control group conduced prosthesis shift or outside and lack of handle.
目的：探讨乳腺癌术后皮瓣坏死的原因及预防措施，降低乳腺癌术后皮瓣坏死的发生率。
Objective: To explore the cause and prevention of skin flap necrosis after radical operation for breast cancer and reduce the incidence of skin flap necrosis.
目的探讨头颈肿瘤术后组织缺损所需各肌皮瓣的设计、制备、转移和预防肌皮瓣坏死的措施。
Objective To explore the muscular flaps design, metastasis and precaution for necrose for head and neck neoplasms defect after operation.
皮瓣坏死与微小血管内皮结构损伤的范围和类型有关，预测撕脱皮瓣活力最重要依据应是内皮的损伤程度。
The necrosis of avulsed flap was related to the type and extent of the damage of microvascular endothelial structure.
方法对54例采用预防皮瓣坏死新方法的乳腺癌根治术病例与过去实施的84例乳腺癌根治术病例进行分组对比研究。
Methods 54 patients with mammary cancer underwent radical operation with new methods to prevent the necrosis of skin flap, and they were studied and compared with 84 cases treated by traditional ways.
临床应用尺动脉腕上支皮瓣修复手掌、手背、小鱼际、大鱼际、拇指的皮肤缺损创面18例，提出了避免皮瓣坏死的方法。
With the improved harvest method, the flaps were used to repair skin defects in 18 cases, of which included palm, dorsum, thenar, hypothenar and the thumb.
皮瓣近端损伤伤后逐渐得到修复，皮瓣远端逐渐发生变性坏死。
The injury of proximal part of the avulsed skin flaps gradually renovated, while the distal part degenerated and became necrobiosis after injury.
皮瓣远端的缺血坏死是临床上屡见不鲜的并发症。
The necrosis of the distal part of the flap is a serious complication that commonly happen.
目的对11例口底缺损后皮瓣修复坏死原因进行分析。
Objective To analyze the reason of necrosis for pedunculated skin flaps repaired after floor of the mouth defect repair.
结果除14例扩张皮瓣因血肿、感染而出现皮瓣远端不同层次坏死外，其余250个皮瓣全部成活良好。
Results 14 expander flaps underwent partial necrosis at the distal end of the flaps due to hematoma and infection. The other 250 flaps survived completely.
结果10例肌腱皮瓣移植后完全成活，1例部分坏死，经换药后伤口愈合。
Results The flaps survived in 10 cases and had partial necrosis in 1 case which achieved secondary healing after dress changing.
目的探讨褥式减张缝合降低乳腺癌根治术后皮瓣切缘坏死的发生。
Objective To discuss how horizontal mattress suture (HMS) may reduce necrosis of incisal margin after radical mastectomy(RM).
结果：所有皮瓣均成活，2例因旋转点蒂部缝合过紧造成皮瓣远端1/5部分皮肤坏死，经植皮后愈合。
Results: All flaps survived, with 1/5 part of skin necrosis occurred in 2 cases due to over-tightened suture on rotation point but healed after skin grafting.
结果除4例皮瓣部分坏死经换药后愈合，其余皮瓣全部成活。
Results All of the flaps survived successfully except that partial flap necrosis at 4 cases, which were cured by dressing changes.
为临床上预防颈阔肌肌皮瓣术后坏死提供了重要的参考依据。
And it will provides important reference basis for clinical prevention of postoperative platysma myocutaneous flap necrosis.
结果：13例皮瓣全部成活，1例皮瓣远端部分坏死，后经换药愈合。术后皮瓣无臃肿，外形好，手功能恢复满意。
Results: Both 13 cases of flap were survived successfully, 1 case of flap was necrosised and healed after change dressings.
结果除6例皮瓣远端部分坏死外，所有皮瓣成活良好。
Results Except6 cases were suffered with distal skin flap necrosis, others were well developed.
E组皮瓣当皮瓣面积达到一定限度时NOS、CD34表达量不再随着皮瓣面积的增大而无限升高，表达相对恒定，皮瓣远端部分坏死（P>0.05）。
For D, E group flaps, expression level of NOS, CD34 no longer increased with the increase of skin flap area , while its expression were constant relatively, flap partial necrosis(P>0.05).
结果： 术中术后6例发生血供障碍，经对应处理皮瓣无坏死。
Results: Blood articulo was found in 6 cases during operation and after operation and the flaps survived after corresponding treatment.
结果所有病人植皮全部成活，皮瓣转移后一例出现末端坏死，经换药处理后痊愈。
Results: Permatoplasty survived in all cases, one case flap end necrosis, by changing of dressing, it survived.
结果1例皮瓣远端坏死，其余皮瓣完全存活。
Results The flaps totally survived except one case with distal end necrosis.
结果1例患者因创口感染而皮瓣部分坏死，其余皮瓣成活良好，取得了良好的效果。
Results All the flap had survived successfully and got satisfactory results but one case sustained partial necrosis due to infections.
结果死亡2例，皮瓣下积液6例，部分皮瓣或皮缘坏死2例，5年生存率92。
Results Two patients died, 6 experienced liquid under flap, and 2 suffered from flap or flap edge necrosis.
术后伤口发生并发症11例，6例不愈合，4例感染，2例皮肤坏死，1例窦道形成，均经换药及清创处理，其中2例行二期肌皮瓣转移术，均治愈。
Skin incision complications were noted in 11 cases including non-healing in 6 cases, infection in 4 cases, skin necrosis in 2 cases and sinus formation in 1 case.
术后伤口发生并发症11例，6例不愈合，4例感染，2例皮肤坏死，1例窦道形成，均经换药及清创处理，其中2例行二期肌皮瓣转移术，均治愈。
Skin incision complications were noted in 11 cases including non-healing in 6 cases, infection in 4 cases, skin necrosis in 2 cases and sinus formation in 1 case.
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