论文部分内容阅读
目的探讨乳腺癌根治术中保留肋间臂神经的临床应用价值。方法本次共选择30例乳腺癌患者作研究对象,均为江苏省宿迁市沭阳中山医院2010年10月～2013年11月收治,采用数字表抽取法随机均分为观察组和对照组(n=15),对照组采用切除肋间臂神经的传统乳腺癌改良根治术,观察组采用保留肋间臂神经的改良根治术,对2组手术效果进行比较。结果观察组手术时间(85.4±8.3)min,术中出血量(71.2±5.5)mL,与对照组(78.2±7.5)min,(69.1±6.2)mL无明显差异。观察组感觉障碍率为6.7%,对照组为73.3%,有统计学差异(P<0.05)。观察组和对照组复发率均为6.7%,无统计学意义。结论应用保留肋间臂神经的乳腺癌改良根治术,可显著降低术后远期感觉障碍率,保障患者生活质量。
Objective To investigate the clinical value of preserving intercostobrachial nerve in radical resection of breast cancer. Methods A total of 30 patients with breast cancer were selected as study subjects. All of them were treated at Shuyang Zhongshan Hospital, Suqian City, Jiangsu Province from October 2010 to November 2013. The patients were randomly divided into observation group and control group = 15). The control group received modified radical mastectomy of traditional breast cancer with intercostobrachial nerve excision. In the observation group, modified radical mastectomy with intercostobrachial nerve was used to compare the effect of the two groups. Results The operative time (85.4 ± 8.3) min and the intraoperative blood loss (71.2 ± 5.5) mL in the observation group were not significantly different from those in the control group (78.2 ± 7.5) min and (69.1 ± 6.2) mL, respectively. The rate of sensory disturbance was 6.7% in the observation group and 73.3% in the control group, with statistical difference (P <0.05). The recurrence rate of observation group and control group were 6.7%, no statistical significance. Conclusion Modified radical mastectomy for breast cancer with intercostobrachial nerve preservation can significantly reduce the postoperative long-term sensory disturbance and ensure the quality of life of patients.