摘要
目的探讨保留肋间臂神经在乳腺癌改良根治术中的临床价值。方法将86例Ⅰ、Ⅱ期乳腺癌患者随机分成两组,在行乳腺癌改良根治术时实验组38例保留肋间臂神经,对照组48例采用常规方法而不保留肋间臂神经。术后对两组患者进行随访,观察其上肢感觉情况并作比较。结果实验组术后1、3、12个月发生上肢感觉障碍分别为6例(15.8%)、3例(7.9%)、1例(2.6%),而对照组分别高达31例(64.6%)、26例(54.2%)、17例(35.4%),两组感觉障碍发生率的差异有统计学意义(P<0.01)。2年内两组患者均未见复发。结论对Ⅰ、Ⅱ期乳腺癌患者行改良根治术时保留肋间臂神经是可行的,可以明显减少术后患侧上肢感觉障碍的发生,具有一定的临床价值。
Objective To evaluate clinical results of intercostobraehial nerves-reserved approach in the modified radical mastectomy of breast cancer, Methods Eighty six cases of stage Ⅰ and Ⅱ breast cancer were randomized into two groups. Thirty eight cases （experimental group） received intereostobrachial nerves-reserved radical mastectomy; while 48 cases （control group） received conventional radical operation. All cases were followed-up for 2 years. Results The incidences of sensory disturbance of upper extremity in experimental group were 15.8%, 7.9% and 2.6% in 1 month, 3 months and 12 months after operation respectively; meanwhile the incidence in control group were 64.6%, 54.2% and 35.4%, respectively, the differences between tow groups were statistically significant （P〈0.01）. No cancer recurrence was observed in all patients after 2 years of follow up. Conclusion Intercostobrachial nerves-reserved approach in modified radical mastectomy for stage Ⅰ and Ⅱ breast cancer can significantly decrease the incidence of sensory disturbance of affected upper extremity.
出处
《浙江医学》
CAS
2006年第5期339-340,342,共3页
Zhejiang Medical Journal
关键词
乳腺癌
肋间臂神经
改良根治术
Breast cancer Intercostobrachial nerve Improved radical operation
