早期乳腺癌在行乳腺癌改良根治术中保留肋间臂神经的探讨  

Investigation of reserving intercostobrachial nerve during modified redical mastectomy for early stage breast cancer

作　　者：李一杰[1] 曾庆安[1] 吴妙双[1] 

机构地区：[1]中山大学附属第五医院普外二科,广东珠海519000

出　　处：《海南医学》2008年第4期50-51,共2页Hainan Medical Journal

摘　　要：目的探讨乳腺癌改良根治术中保留肋间臂神经的临床意义。方法将我科自2002年8月至2006年8月收治的128例Ⅰ—Ⅱ期乳腺癌患者随机均分为两组,实验组术中保留肋间臂神经,对照组术中切除肋间臂神经,并对两组患者术后进行随访观察。结果患侧上肢感觉障碍发生率,两组比较差异有显著性意义(P<0.05);两组在淋巴结切除数量,复发率,手术时间,两组比较差异无统计学意义(P>0.05)。结论在乳腺癌改良根治术中保留肋间臂神经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, during modified radical mastectomy. Methods From August 2002 to August 2008, 128 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 There was significant difference of upper limb sensory disturbance between the two group （P〈0.01）. In operative time, amount of excised lymph node and recurrence rate, the differences of two groups were not statistically. Conclusions Reserving intercostobrachial nerve can obviously reduce occurreuce of upper limb sensory disturbance in modified radical mastectomy.

关 键 词：乳腺癌 改良根治术 肋间臂神经 

分 类 号：R737.9[医药卫生—肿瘤]