摘要
目的探讨乳腺癌腋窝淋巴结清除术保留肋间臂神经的方法及临床意义。方法对69例Ⅰ、Ⅱ期乳腺癌手术患者在清除腋窝淋巴结时是否保留肋间臂神经的术后情况进行分析,术中完整保留肋间臂神经35例,未保留肋间臂神经34例,术后对患者进行观察并随访。结果保留肋间臂神经组术后患侧上臂内侧及腋部皮肤感觉异常发生率为11.43%,未保留肋间臂神经组感觉异常发生率为88.23%,两组间比较差异有统计学意义(2=40.70,P<0.0001)。结论早期乳腺癌在行腋窝淋巴结清扫过程中保留肋间臂神经可以减少术后患侧腋窝及上肢感觉异常。
Objective To investigate the clinical significance of preservation of intercostobrachial nerve （ICBN） Methods 69 cases of Ⅰ-Ⅱ stage breast cancer underwent surgery. The patients were divided into two groups, according to whether the ICBN was preserved or not,35 patients had intercostobrachial nerve reservation and the nerve was resected in 34 cases. All of the patients were followed up. Results Among the patients with ICBN reservation, sensory disturbance of affected upper medial arm and axilla was 11.43% , which was significantly different from that of ICBN resected group 88.23% （ X^2 = 40.70, P 〈 0. 0001 ）. Conclusion Preserving ICBN in axillary lymphadenectomy in early breast cancer may significantly deerease sensory disturbance of the affected upper medial arm and axilla.
出处
《河南科技大学学报（医学版）》
2009年第2期110-112,共3页
Journal of Henan University of Science & Technology:Medical Science
关键词
乳腺癌
腋窝淋巴结清扫
肋间臂神经
breast carcinoma
axillary lymphadenectomy
intercostobrachial nerve
