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目的探讨保留肋间臂神经在乳腺癌改良根治术中的临床效果。方法回顾性分析本院2008年1月~2012年12月收治的360例乳腺癌行改良根治术的患者,保留肋间臂神经的284例作为实验组,术中损伤及切除肋间臂神经的76例分为对照组。观察患者在术后上肢感觉异常情况,淋巴结清扫数量,术后1年局部复发率情况。结果实验组在上肢术后肢体麻木、疼痛及感觉异常方面明显少于对照组,P<0.05。实验组在手术淋巴结取出总量及术后1年局部复发率方面与对照组比较差异无统计学意义(P>0.05)。结论保留肋间臂神经在乳腺癌改良根治术中能够保证淋巴结清扫效果,不增加术后局部复发率,提高患者术后生活质量。
Objective To investigate the clinical effect of preserving intercostobrachial nerve in modified radical mastectomy of breast cancer. Methods A retrospective analysis of 360 patients with modified breast cancer who underwent radical mastectomy in our hospital from January 2008 to December 2012 was retrospectively performed. 284 patients with intercostobrachial nerves were reserved as experimental group. Intraoperative injury and resection of intercostobrachial nerve 76 cases were divided into control group. Patients were observed in postoperative upper limb sensory abnormalities, the number of lymph node dissection, 1 year after the local recurrence rate. Results In the experimental group, limb numbness, pain and sensory abnormalities were significantly less than those in the control group (P <0.05). There was no significant difference between the experimental group and the control group in the total removal of lymph nodes and the local recurrence rate at 1 year after operation (P> 0.05). Conclusion The preservation of intercostobrachial nerve in the modified radical mastectomy can ensure lymph node dissection, does not increase the local recurrence rate and improves the postoperative quality of life.