摘要
目的:探讨乳腺癌改良根治术中保留肋间臂神经的临床价值。方法:在80例乳腺癌改良根治术中,完整保留肋间臂神经40例,切除肋间臂神经40例。术后对患者上臂内侧感觉功能进行随访观察。结果:80例患者在随访第6、24个月时局部均未发现癌肿复发及转移。保留肋间臂神经的40例患者中,术后患侧上臂内侧皮肤感觉正常34例(85%),感觉异常6例(15%);而切除肋间臂神经的40例患者中,14例感觉正常(35%),26例(65%)感觉异常。结论:在乳腺癌改良根治术中保留肋间臂神经可明显降低术后患侧上臂内侧感觉障碍的发生率,有助于提高患者的生活质量。
Objective： To study the clinical value of preserving intercostobrachial nerve （ICBN） during modified radical mastectomy for breast cancer. Methods： Modified radical mastectomy was performed in 80 cases of breast carcinoma. Among 80 cases, ICBN was preserved completely in 40 cases, and dissected in the other 40 cases. Sensory function of the medial upper arm of all patients was followed up after operation. Results： No localrecurrence or metastasis was found among the 80 cases during the sixth and twenty-fourth months that followed up. Among the 40 cases with reserved ICBN, 34 cases （85%） had normal sensation on the skin of upper medial arm and 6 cases （15%） had paresthesia. Among the 40 cases with dissected ICBN, 14 cases （35%） had normal sensation, 26 cases （65%） had paresthesia. Conclusion： Preserving intercostobrachial nerve in modified radical mastectomy for the patients with breast cancer can decrease the incidence of abnormal sense on the skin of medial upper arm. It can enhance the life quality of patients after operation.
出处
《中国医药导报》
CAS
2009年第16期33-34,共2页
China Medical Herald
关键词
乳腺癌
肋间臂神经
改良根治术
Breast cancer
Intercostobrachial nerve
Modified radical mastectomy
