论文部分内容阅读
目的探讨乳腺癌改良根治术中保留肋间臂神经的临床价值。方法在52例乳腺癌改良根治术中完整保留肋间臂神经34例,切除肋间臂神经18例。术后对52例患者上臂内侧感觉功能进行随访观察。结果52例患者在随访第1、6、24个月期间局部均未发现复发、转移。保留肋间臂神经34例中术后患侧上臂内侧及腋部皮肤感觉正常30例(88.2%),感觉异常4例(11.8%);而切除肋间臂神经的18例患者均有感觉异常。结论在乳腺癌改良根治术中保留肋间臂神经可明显降低术后患侧上臂内侧感觉障碍的发生率,有助于提高患者的生活质量。
Objective To investigate the clinical value of preserving intercostobrachial nerve in radical mastectomy of breast cancer. Methods In the modified radical mastectomy of 52 cases of breast cancer, 34 cases of intercostobrachial nerve were completely preserved and 18 cases of intercostobrachial nerve were excised. Fifty-two patients were followed up for the sensory function of the upper arm. Results No recurrence and metastasis were found in 52 patients at the 1st, 6th and 24th months of follow-up. Thirty patients (88.2%) had sensory abnormalities in the medial upper arm and the axillary skin in 34 cases of intercostobrachial nerves, and 4 cases (11.8%) had sensory abnormality in the 34 cases of intercostobrachial nerve. All 18 patients with intercostobrachial nerve had sensory abnormalities . Conclusion The preservation of the intercostobrachial nerve in radical mastectomy of breast cancer can significantly reduce the incidence of medial upper arm sensory disturbance and improve the quality of life of patients.