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目的探讨在乳腺癌改良根治术中保留肋间臂神经(ICBN)的可行性及其临床意义。方法在56例乳腺癌改良根治术中施行保留肋间臂神经手术,其中完整保留肋间臂神经38例,切除肋间臂神经18例。结果保留肋间臂神经38例与切除肋间臂神经18例术后患侧上臂内侧及腋部皮肤感觉异常比较,差异有统计学意义(P<0.01)。术后平均随访16个月,56例均未见局部复发。结论在乳腺癌改良根治术中通过手术技巧的改进,保留肋间臂神经是可行的,亦是必要的,它保存了患侧上臂内侧及腋部皮肤的感觉功能,提高患者生活质量。
Objective To investigate the feasibility and clinical significance of preserving intercostobrachial nerve (ICBN) in radical mastectomy of breast cancer. Methods Fifty-six patients with modified radical mastectomy for breast cancer underwent intercostal arm nerve preservation, in which 38 cases of intercostobrachial nerve were completely preserved and 18 cases of intercostobrachial nerve were excised. Results There were significant differences between the 38 patients with intercostobrachial nerve and those with 18 patients with intercostobrachial nerve in medial and axillary skin of affected ipsilateral. The difference was statistically significant (P <0.01). After an average follow-up of 16 months, 56 cases showed no local recurrence. Conclusion It is feasible and necessary to preserve the intercostobrachial nerve through the improvement of surgical techniques in modified radical mastectomy. It preserves the sensory function of the medial and upper axillary skin and improves the quality of life of patients.