摘要
目的探讨保留肋间臂神经乳腺癌腋淋巴结清扫术中的可行性及临床应用。方法选择94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,术后观察患侧上臂的感觉功能变化情况。结果术后上臂感觉异常发生率为8.51%,4周左右症状消失,在1年的随访期间均未发生局部复发。结论乳腺癌腋淋巴结清扫术中保留肋间臂神经,可明显减少乳房切除术后疼痛综合征的发生率,有利于改善患者术后的生存质量,具有一定的临床应用价值。
Objective To investigate the possibility and clinical significance of reserving intercostobrachial nerve during the modified radical mastectomy.Methods 94 cases of breast carcinoma were treated by the modified radical mastectomy.The intercostobrachial nerves were saved in lymph node dissection.After operation,the sensation of ill side supper arm was observed.Results 8.51% patients had abnormal sensation on the skin of medial upper arms after operation,and the symptoms disappeared 4 weeks later.No recurrence was found during 1 to 12 month.follow-up.Conclusion Reserving in axillary lymph node dissection for the patients with breast cancer,which has certain clinical values,can obviously reduce the incidence of pain syndrome and improve the life quality of the patients after operations.
出处
《基层医学论坛》
2011年第1期17-18,共2页
The Medical Forum
关键词
乳腺癌
改良根治术
肋间臂神经
腋窝淋巴结清扫
Breast carcinoma Improved radical operation Intercostobrachial nerve Axillary lymph node dissection
