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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应用价值。方法:我院近年共收治80例乳腺癌患者,进行了乳腺癌根治术,按照随机对照的方法分为观察组和对照组各40例,对照组切除肋间臂神经,观察组保留肋间臂神经。术后进行随访,比较2组患者并发症及上臂内侧感觉功能情况。结果:所有患者手术顺利完成,术后恢复良好。对照组40例患者中有27例(67.5%)出现上臂内侧感觉障碍,而观察组40例患者中仅5例(12.5%)出现上臂内侧皮肤感觉障碍,2组相比差异具有统计学意义(P<0.05)。结论:乳腺癌改良根治术中保留患者肋间臂神经可显著避免术后上臂内侧皮肤感觉障碍的发生,提高患者术后生存质量。
Objective: To explore the value of preserving intercostobrachial nerve in modified radical mastectomy for breast cancer. Methods: 80 cases of breast cancer were treated in our hospital in recent years, and radical mastectomy for breast cancer was performed. According to the randomized controlled trial, 40 cases were divided into observation group and control group. The control group was resected with intercostobrachial nerve. nerve. Postoperative follow-up, comparisons of two groups of patients and upper arm medial sensory function. Results: All patients underwent successful operation and recovered well after operation. In 40 cases of control group, there were 27 cases (67.5%) with medial upper arm sensory disturbance, and only 5 cases (12.5%) of 40 cases in observation group had sensation of skin sensation in upper medial arm. There was significant difference between the two groups P <0.05). CONCLUSION: Preservation of intercostobrachial nerve in radical mastectomy for breast cancer can significantly prevent the onset of postoperative upper-arm skin sensory disturbance and improve postoperative quality of life.