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目的探讨保留肋间臂神经在乳腺癌腋淋巴结清扫术中的可行性及临床应用价值。方法56例乳腺癌患者在行腋淋巴结清扫时,游离并保留腋下脂肪组织中的肋间臂神经,术后测试上臂内后侧的感觉功能。结果术后上臂内后侧感觉异常发生率为3.5%(2/56),3周后症状消失,经3￣12个月随访均未发生局部复发。结论乳腺癌腋淋巴结清扫术中保留肋间臂神经,可明显减少上臂内后侧感觉障碍的发生率,有利于改善病人术后的生活质量,具有一定的临床应用价值。
Objective To explore the feasibility and clinical value of preserving the intercostobrachial nerve in axillary lymph node dissection of breast cancer. Methods Fifty-six breast cancer patients dissociated and retained the intercostobrachial nerves in the axillary axillary tissue during an axillary lymph node dissection. The sensory function of the upper arm was measured on the posterior side of the upper arm. Results The incidence of paresthesia in the upper arm was 3.5% (2/56). The symptoms disappeared after 3 weeks. No local recurrence occurred after 3-12 months of follow-up. Conclusions Preserving the intercostobrachial nerve during axillary lymph node dissection in breast cancer can significantly reduce the incidence of sensory disturbances in the upper arm and improve the postoperative quality of life. It has certain clinical application value.