论文部分内容阅读
目的探讨乳腺癌腔镜下腋窝淋巴结清扫(EALND)术中保留肋间臂神经的临床可行性。方法选取2010年1月至2012年1月间收治的65例行EALND的I、Ⅱ期乳腺癌患者进行回顾性分析,按是否保留肋间臂神经分为观察组(保留肋间臂神经,48例)和对照组(未保留肋间臂神经,17例)。观察并对比两组的手术时间、术后上臂内侧和腋窝皮肤的感觉情况。结果观察组与对照组平均手术时间分别为(89.3±28.1)min及(90.2±26.9)min,差异无统计学意义(P>0.05);观察组与对照组术后上臂内侧和腋窝皮肤感觉异常者分别为5例(10.4%)及13例(76.5%),差异有统计学意义(P<0.01)。所有患者术后随访12~37个月,平均随访27个月,未发现切口种植转移及肿瘤复发。结论早期乳腺癌患者行EALND保留肋间臂神经具有临床可行性,并具有较大的临床价值。
Objective To investigate the clinical feasibility of preserving the intercostobrachial nerve during endoscopic axillary lymph node dissection (EALND) in breast cancer. Methods Sixty-five patients with stage I and II breast cancer who underwent EALND from January 2010 to January 2012 were retrospectively analyzed. The intercostal arm nerves were divided into observation group (intercostal arm nerve preservation, 48 Cases) and control group (without preserving intercostobrachial nerve, 17 cases). Observation and comparison of two groups of operation time, postoperative upper arm and armpit skin feeling. Results The mean operative time of the observation group and the control group was (89.3 ± 28.1) min and (90.2 ± 26.9) min, respectively, with no significant difference (P> 0.05). In the observation group and the control group, postoperative abnormalities of the medial upper arm and axillary skin There were 5 cases (10.4%) and 13 cases (76.5%) respectively, the difference was statistically significant (P <0.01). All patients were followed up for 12 to 37 months with an average follow-up of 27 months. No incision implantation and tumor recurrence were found. Conclusion EALND preserving intercostobrachial nerve in patients with early breast cancer is clinically feasible and has great clinical value.