摘要
目的研究乳腺癌腋窝淋巴结清扫术中保留肋间臂神经的临床意义,为临床提供依据。方法方便选取2013年1月—2015年6月在该院诊治的70例乳腺癌患者资料进行分析,入选患者均行乳腺癌腋窝淋巴结清扫术治疗,根据患者术中是否保留间臂神经分为对照组和实验组,每组35例。对照组乳腺癌腋窝淋巴结清扫术中切除肋间臂神经,实验组乳腺癌腋窝淋巴结清扫术中保留肋间臂神经,比较两组临床疗效。结果两组患者术后腋窝、上臂后侧、上臂前侧感觉障碍差异无统计学意义(P>0.05);实验组治疗后上臂内侧14.3%、上臂外侧0.0%,显著低于对照组(上臂内侧25.7%、上臂外侧8.6%)(P<0.05);两组患者术中出血量、淋巴结清扫术差异无统计学意义(P>0.05);试验组手术时间(82.4±13.2)min较长,显著多于对照组(68.7±11.3)min(P<0.05)。结论乳腺癌腋窝淋巴结清扫术中保留肋间臂神经能改善患者客观感觉,提高患者生存质量,值得推广应用。
Objective To research the clinical significance of preserving intercostobrachial nerve in axillary lymphadenectomy in breast cancer and provide basis for clinical treatment. Methods 70 cases of patients with breast cancer diagnosed and treated in our hospital from January 2013 to June 2015 were selected and divided into two groups with 35 cases in each according to whether the intercostobrachial nerve was preserved or not in operation, the intercostobrachial nerves of the control group were removed in axillary lymphadenectomy in breast cancer, the intercostobrachial nerves of the experimental group were preserved in axillary lymphadenectomy in breast cancer, and the clinical curative effects were compared between the two groups. Results The differences in the sensory disorders distributed in postoperative axillary, posterior upper arm and anterior upper arm between the two groups had no statistical significance,（P 〉0.05）, the proportions with sensory disorders distributed in medial upper arm and lateral upper arm after treatment in the experimental group were obviously lower than those in the control group,（14.3%, 0.0% vs 25.7%, 8.6%）,（P〈0.05）, the differences in the intraoperative blood loss and lymphadenectomy between the two groups had no statistical significance,（P 〉0.05）, the operation time in the test group was obviously longer than that in the control group, [（82.4±13.2） min vs（68.7±11.3） min]（P〈0.05）. Conclusion Preserving intercostobrachial nerve in axillary lymphadenectomy in breast cancer can improve the objective sense and improve the survival quality of patients, which is worth promotion and application.
出处
《中外医疗》
2016年第10期41-42,45,共3页
China & Foreign Medical Treatment
关键词
乳腺癌腋窝淋巴结清扫术
肋间臂神经
临床意义
Axillary lymphadenectomy in breast cancer
Intercostobrachial nerve
Clinical significance
