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目的:探讨乳腺癌腋窝清扫中保留肋间臂神经在术后上肢功能康复中的临床意义。方法:150例Ⅰ、Ⅱ期乳腺癌腋窝清扫术中,实验组保留肋间臂神经75例,对照组切除75例,术后对患者进行随访观察。结果:实验组感觉障碍5例(6.84%),对照组感觉障碍61例(84.72%),两组比较有统计学差异(P<0.001)。随访10~26个月,实验组获访73例均无肿瘤局部复发。结论:乳腺癌腋窝清扫术中,保留肋间臂神经可显著减轻术后上肢疼痛,改善上肢功能,不影响肿瘤的局部复发率,具有一定临床价值。
Objective: To investigate the clinical significance of preserving the intercostobrachial nerve in the rehabilitation of postoperative upper limbs in the axillary dissection of breast cancer. Methods: During the axillary dissection of 150 cases of stage Ⅰ and Ⅱ breast cancer, 75 cases of intercostobrachial nerve were reserved in the experimental group and 75 cases were resected in the control group. The patients were followed up after operation. Results: There were 5 cases (6.84%) of the sensory disturbance in the experimental group and 61 cases (84.72%) of the sensory disturbance in the control group. There was significant difference between the two groups (P <0.001). All cases were followed up for 10 ~ 26 months. There were no local tumor recurrences in 73 cases in the experimental group. CONCLUSION: In the axillary dissection of breast cancer, preserving the intercostobrachial nerve can significantly reduce postoperative upper limb pain, improve the function of the upper limbs, and not affect the local recurrence rate of the tumor, which has a certain clinical value.