保留胸前神经的改良乳癌根治术  

MODIFIED RADICAL MASTECTOMY (AUCHINCLOSS OPERATION) WITH PRESERVATION OF PECTORAL NERVES FOR BREAST CANCER PATIENT

作　　者：刘锦平[1] 王孙庆[1] 夏天 

机构地区：[1]四川省人民医院普外科

出　　处：《普外基础与临床杂志》1996年第2期82-83,共2页

摘　　要：报告８例经胸大肌开窗，行保留胸前神经的改良一式乳腺癌根治术（Ａｕｃｈｉｎｃｌｏｓｓ法），该术式克服了过去改良一式仅能清扫腋窝外侧区脂肪及淋巴组织的弊端。不仅能保留胸前神经，也能清扫胸小肌内缘，锁骨下和胸肌间的淋巴结，基本达到正规的Ｈａｌｓｔｅｄ要求。此术式不仅适合于Ⅰ、Ⅱ期乳腺癌病例，甚至也适用于无胸大肌浸润的Ⅲ期乳腺癌病例。Eight patients treated with modified radical mastectomy and fenestration of pectoralis muscle to preserve pectoral,nerves are reported and the practical procedure is introduced. The results indicate that this method can overcome the disadvantage of mastectomy (Auchincloss ) in that only dissection of fatty tissue and lymph nodes in the lateral part of axilla is carried out. With fenestration of pectoralis major muscle,not only the pectoral nerves can be perserved but also the fatty tissue and lymph nodes,including of those medial to the pectoralis minor,subclavicular and interpectoral nodes can be dissected. This method almost reached Halsted' s demand and it can be used for stage Ⅰ -Ⅱ, and even stage Ⅲ breast cancer if no infiltration to pectoralis major muscle is found.

关 键 词：乳腺癌 外科手术 治疗 

分 类 号：R737.9[医药卫生—肿瘤]