摘要
目的评价乳腺癌腋窝淋巴结清扫术中保留肋间臂神经对术后患侧上肢感觉功能及运动功能恢复的影响及保留方法。方法96例乳腺癌患者采用Auchineloss术式治疗。根据是否保留肋间臂神经分为完全保留组51例，部分保留组27例，完全切除组18例。对比分析各组术后患侧上臂感觉功能及运动功能恢复情况。结果术后1周，完全保留组及部分保留组患侧上肢的局部麻木感觉的发生率分别为11．8％（6／51）、40．7％（11／27），均明显低于完全切除组的72．2％（13／18）（P〈0．05或〈0．01）；各组的局部疼痛感觉和患侧上肢运动情况比较差异无统计学意义。术后1年，完全保留组及部分保留组患侧上肢局部疼痛感觉发生率分别为23．5％（12／51）、14．8％（4／27），显著低于完全切除组的50．0％（9／18）（P〈0．05），完全切除组患侧上肢皮肤感觉障碍的总体面积大于完全保留组（P〈0．01）及部分保留组（P〈0．05）。各组腋窝复发率及远处转移率比较差异无统计学意义。结论乳腺癌腋窝淋巴结清扫术中应尽量保留肋间臂神经。
Objective To investigate the significance of preserving the intereostobrachial nerve （ICBN） during axillary node clearance for breast cancer and share some technical experiences of this procedure. Methods ICBN was preserved integrally or partially in 78 patients of breast cancer （ICBN preserved group） and resected integrally （ICBN resected group） in 18 patients. Sensory disorders and motorial recoveries as well as tumor recurrence were compared between the two groups one week and one year after operation. Results Morbidity of sensory disorders in ICBN preserved group was less than that in ICBN resected group. Motorial recoveries were better in ICBN preserved patients without decreasing the number of axillary nodes resected and without increasing the recurrence of tumor. Conclusion ICBN should be preserved as far as possible during axillary node clearance for breast cancer.
出处
《中国医师进修杂志（外科版）》
2009年第11期17-20,共4页
Chinese Journal of Postgraduates of Medicine
关键词
乳腺肿瘤
淋巴结切除术
肋间臂神经
Breast neoplasms
Lymph node excision
Intercostobrachial nerve
