摘要
目的研究保留胸前神经和肋间臂神经的乳腺癌手术的疗效。方法选取本院乳腺外科收治的82例乳腺癌患者,分为观察组及对照组各41例,观察组进行保留胸前神经和肋间臂神经的乳腺癌手术,对照组进行不保留胸前神经和肋间臂神经的乳腺癌手术,观察并分析两组患者的手术效果。结果所有患者术后接受30~36个月的随访,随访的结果显示,观察组患者无胸肌萎缩症状出现,腋窝疼痛者2例,上臂麻木感者2例,2个月内均恢复正常。术后出现局部复发1例,腋窝转移1例,骨转移1例,肺转移1例。对照组患者胸肌萎缩症状者9例,腋窝疼痛者6例,上臂麻木感症状者14例,术后出现局部复发1例,腋窝转移1例,骨转移2例,肺转移1例,两组术后复发转移差异无统计学意义。结论保留胸前神经及肋间臂神经的乳腺癌手术,可显著降低胸肌萎缩及患侧上臂及腋部感觉异常等并发症的发生率,改善患者术后生活质量,有效控制肿瘤复发率以及转移率。
Objective To explore the clinical effect of breast cancer surgery with thoracic nerve and intercostal brachial nerve. Methods Selected 82 patients with breast cancer, and equally divided them into the study group and control group, the study group were treated with breast cancer surgery with thoracic nerve and intercostal brachial nerve, and the control group were treated with breast cancer surgery without thoracic nerve and intercostal brachial nerve. To observe the clinical effect of the two groups. Results All the patients were followed up visit 30-36 months after the treatment. And, the study group patient had no chest atrophy, 2 patients with axillary pain, 2 patients with upper arm numbness, and they all recovered within 2 months. After the treatment, 1 patient was occurred with Local recurrence, 1 patient was occurred with aillary metastasis, 1 patient was occurred with bone metastases, 1 patient was occurred with pulmonary metastasis. The control group 9 patients with chest atrophy, 6 patients with axillary pain,14 patients with upper arm numbnes. Afterthetreatment, 1 patient was occurred with Local recurrence, 1 patient was occurred with aillary metastasis, 2 patient was occurred with bone metastases, 1 patient was occurred with pulmonary metastasis. And there were no difference between the two groups in the aspect of postoperative recurrence and metastasis. Conclusion Breast cancer surgery with thoracic nerve and intercostal brachial nervecan significantly reduce the incidence of complications such as pectoral atrophy and abnormal sensation in the upper arm and axillary region,improve the life quality, effectively control the rate of postoperative recurrence and metastasis.
作者
林慧
Lin Hui(Department of Breast surgery in the first hospital of Fuzhou,Fujian Medical University,Fuzhou,Fujian,350000,China)
出处
《当代医学》
2018年第20期16-18,共3页
Contemporary Medicine
关键词
保留胸前神经
肋间臂神经
乳腺癌手术
临床疗效
Thoracic nerve
Intercostal brachial nerve
Breast cancer
Clinical efficacy
