摘要
目的探讨保留肋间臂神经(ICBN)在乳腺癌改良根治术中的可行性和临床价值。方法将130例Ⅰ、Ⅱ、Ⅲa期乳腺癌患者分为保留组(保留ⅠCBN)和切除组(不保留ICBN),2组均给予常规乳腺癌改良根治术。比较2组术后皮肤感觉、清扫淋巴结数目、手术时间、术中出血等临床指标。结果 2组在手术时间、术中出血量、清扫淋巴结数方面比较无显著差异(P>0.05);保留组术后1、3、6、12月上臂内侧皮肤感觉障碍明显好于切除组,差异有统计学意义(P<0.05);2组术后局部复发和远处转移发生率无显著差异(P>0.05)。结论乳腺癌改良根治术中腋淋巴结清扫时保留ICBN可明显减少患侧上臂感觉障碍的发生率,提高乳腺癌患者术后的生活质量,且不增加局部复发和远处转移的风险。
Objective To investigate the clinical value and feasibility of reserving intercostobrachial nerve （ICBN） during the modified radical mastectomy. Methods One hundred and thirty patients with stage Ⅰ / Ⅱ / Ⅲa breast cancer who underwent modified mastectomy were divided into retention group （The ICBN kept, n = 65） and control group （ ICBN removed, n = 65）. The two groups both were given routine modified radical mastectomy. Clinical indexes such as the effect of skin feel, the number of lymph node dissection, operative time, and blood loss and so on were compared between the two groups. Results The two groups had no marked difference in operation time blood loss and the number of lymph node dissection （P 〉 0.05）. The incidences of skin feels obstacle 1,3,6,12 months after surgery of retention group were significantly lower than those of the resection group, the difference being statistically significant（P 〈 0.05）. The incidence of postoperative local recurrence and distant metastases of the two groups showed no significant difference （P 〉 0.05）. Conclusion Reserving ICBN could decrease the incidence of skin feels obstacle, h also could improve the postoperative life quality instead of increasing the risk of local recurrence or distant metastasis.
出处
《实用临床医药杂志》
CAS
2013年第15期126-128,共3页
Journal of Clinical Medicine in Practice
关键词
乳腺肿瘤
改良根治术
肋间臂神经
breast cancer
intercostobrachial nerve
axillary lymph node dissection
