Objective: To explore the clinical efficacy on scalpel free flap improved after adrenal brine subcutaneous infiltrates in breast cancer by surgical blade. Methods: 136 cases of breast cancer patients were divided into experiment group (68 cases) and control group (68 cases), experinent group was given surgical blade free flap by subcutaneous injection of Epinephrine brine and conventional treatment, and control group was given electrotome separation flap and conventional treatment, postoperative subcutaneous effusion and necrosis situation of edge incision of two groups were observed. Results:Thc rate of subcutaneous effusion in experiment group was 11.0％, and the rate of skin flap necrosis was 1.5％, the rate of subcutaneous effusion in control group was 32.3％, and the rate of skin flap necrosis was 11.8％, two groups of comparisons difference in the rate of subcutaneous effusion and the rate of subcutaneous effision were statistically significant (x2=9.86,P＜0.01; x2=4.28, P＜0.05). Conclusion: Using scalpel free flap improved after adrenal brine subcutaneous infiltrates can obviously reduce postoperative subcutaneous effusion and necrosis situation of edge incision in breast cancer.%目的:探讨肾上腺素盐水皮下浸润后手术刀片游离皮瓣在乳腺癌改良根治术中的临床应用.方法:将136例乳腺癌患者随机分为实验组(68例)和对照组(68例),实验组采用皮下注射肾上腺素盐水手术刀片游离皮瓣及常规处理,对照组采用全程电刀分离皮瓣及常规处理,观察两组患者术后皮下积液及皮瓣切口边缘坏死的发生情况.结果:实验组术后皮下积液发生率为11.0%,皮瓣坏死发生率为1.5%.对照组术后皮下积液发生率为32.3%,皮瓣坏死发生率为11.8%.实验组皮下积液发生率与对照组比较有明显下降(χ2=9.86,P＜0.01),两组皮瓣坏死发生率相比差异有统计学意义(χ2=4.28,P＜0.05).结论:乳腺癌改良根治术中采用肾上腺素盐水皮下浸润后手术刀游离皮瓣可明显减少术后皮下积液及皮瓣切口边缘坏死的发生.
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