摘要
目的探讨乳腺癌根治术中保留肋间臂神经的可行性和临床价值。方法对2000年1月至2009年5月35例保留肋间臂神经和32例切除肋间臂神经的乳腺癌患者进行术后随访观察。结果保留组术后9例有上臂感觉方面变化,而切除组术后21例发生感觉异常。两组比较差异有统计学意义(P<0.05)。全部病例随访1～3年无局部复发。结论保留肋间臂神经能明显减少乳腺癌患者术后上肢感觉障碍的发生,从而提高生活质量。
Objective To study the feasibility and clinical value of preserving intercostobrachial nerve in radical mastectomy of breast cancer.Methods From January 2000 to May 2009,35 cases of preserving intercostobrachial nerve and 32 cases of intercostal nerve resection in the patients with breast cancer were performed follow-up observation.Results In intercostobrachial nerve reservation group,there were 9 cases of postoperative sensory changes in the upper arm,and in the intercostal nerve resection group,21 cases of postoperative paresthesia occurred.Two groups of patients had statistically significant difference（P〈0.05）.All patients were followed up for 1-3 years without local recurrence.Conclusion Intercostobrachial nerve reservation can significantly reduce the occurrence of postoperative sensory disturbance of upper limb in the patients with breast cancer,thereby improe the quality of life.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第9期1096-1097,共2页
Chongqing medicine
关键词
乳腺癌
肋间臂神经
临床分析
breast cancer
intercostobrachial nerve
clinical analysis
