摘要:目的：探討高頻電刀在乳腺癌手術皮瓣游離中的臨床應用及其功率大小對術后皮瓣壞死的影響。方法：回顧性分析2003年1月至2008年9月,在我院154例行乳腺癌改良根治術患者的臨床資料,其中乳腺刀組（A組）37例,小功率電刀組（B組）60例,大功率電刀組（C組）57例,對比分析各組皮瓣壞死情況。結果：共發生皮瓣壞死35例,其中A組用乳腺刀游離皮瓣6例（6/37）,B組用小功率電刀（18～22W）游離皮瓣9例（9/60）,C組用大功率（≥28W）電刀游離皮瓣20例(20/57),B組與A組比較差異無顯著意義(Ｐ＞005),C組與A、B組比較差異有顯著意義(Ｐ＜005);而B、C組與A組比較,游離皮瓣時出血量明顯減少,差異有顯著性意義（Ｐ＜005）。結論：合理應用高頻電刀游離皮瓣具有術中出血少,術后恢復快的優勢,但若功率過高,則會增加皮瓣壞死率。
Abstract: Objective: To Analyse influence of Skin Flap Necrosis after Operation of Breast Cancer with different power of radioknife. Methods：The clinical data of 154 breast cancer patients received surgery operation trea tment was analysed retrospectively, among them there are 37 patients operation with lancet (group A), there were 60 patients operation with littlepower radioknife (group B) and there were 57 patients operation with highpower radioknife (group C). Results：There were 35 cases (22.73％) suffured from skin flap necrosis among 154 breast cancer cases received surgery operation. There were 6 cases（6/37）in group A, 9 cases（9/60）in group B and 20 cases（20/57）in group C. Group B and group C has littler hemorrhage in operation compare with group C (Ｐ＜005) . Conclusion： Radioknife for skin flap decoherence in operation of breast cancer can decrease hemorrhage but highpower radioknife will increase necrosis of skin flap.
Citation： ZHANG Xiaohong,ZHANG Zheng,ZHAO Lijuan,et al.. Clinical Application of Radioknife for Skin Flap Decoherence in Operation of Breast Cancer. West China Medical Journal, 2009, 24(12): 3119-3120. doi: Copy
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