乳腺癌仿根治术中保留肋间臂神经的临床意义  

Clinical value of reserving intercostobrachial nerve during modified radical mastectomy

作　　者：傅继勇[1] 陈超[1] 

机构地区：[1]广东省惠州市中心人民医院普通外科,516001

出　　处：《岭南现代临床外科》2006年第1期10-11,18,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨乳腺癌仿根治术中保留肋间臂神经(ICBN)的临床意义。方法将我科自2001年5月至2005年5月收治的166例Ⅰ-Ⅱ期乳腺癌患者随机均分为两组,实验组术中保留ICBN,对照组术中切除ICBN,并对两组患者术后进行随访观察。结果两组乳腺癌切除均行常规仿根治术,手术过程顺利,平均手术时间实验组为123.6min,对照组为108.5min,实验组83例术中有72例成功保留ICBN,患侧上肢感觉障碍发生率为5.56%(4/72),对照组发生率为73.49%(61/83),两组比较差异有显著性意义(P<0.01),经术后5个月至4年随访,上肢感觉障碍实验组4例中有2例1年后好转,对照组61例中1年后好转3例,两组肿瘤均无局部复发。结论在乳腺癌仿根治术中保留ICBN可明显减少患侧上肢感觉障碍的发生。Objective To investigate the clinical value of reserving intercostobrachial nerve （ICBN）during modified radical mastectomy. Methods From May 2001 to May 2005, 166 cases with Ⅰ-Ⅱ stage mammary carcinoma were randomly divided into experimented group （reserving ICBN）and control group（resecting ICBN）.The two groups of patients were followed up after operation. Results The modified radical mastectomy was performed for mammary carcinoma in two groups.In the experimental group,reserving ICBN was successful in 72 cases, sensory disturbance of affected upper limb incidence was 5.56% （4/72）.Control group incidence was 73.48% （61/83）. There was significant difference between the two groups（P〈0.01 ）. All cases were foUowed up from 5-48 months after operation. In the experimental group, upper limb sensory disturbance was improved in 2 of 4 cases 1 year later. In the conrtol group, 3 of 61 cases were improved 1 year later. No local tumor recurrence was found in two groups. Conclusion Reserving ICBN can obviously reduce occurreuce of affected upper limb sensory disturbance.

关 键 词：乳腺癌 仿根治术 肋间臂神经 

分 类 号：R737.9[医药卫生—肿瘤]