保留胸肌的乳腺癌根治术  

Radical mastectomy with preservation of pectoralis major muscle

作　　者：鲍民生[1] 郭建升[1] 李正中[1] 

机构地区：[1]山西医科大学第一临床医学院普外科

出　　处：《山西医学院学报》1998年第1期60-61,共2页

摘　　要：介绍保留胸肌的乳癌根治术１３６例，其中，切除胸小肌保留胸大肌术式１２０例，大小肌均保留１６例，保留胸大小肌的术式适用于临床Ⅰ、Ⅱ期乳癌，仅保留胸大肌的术式还适用于临床Ⅲ期乳癌。对于清除包括腋上群在内的腋窝淋巴结，完全可达到Ｈａｌｓｔｅｄ乳癌根治术的程度。胸大肌的松弛对腋窝显露较重要，因此，提倡把患肢消毒包扎后放在手术无菌区内，以便术中变换体位，松弛胸大肌。Experence in the radical mastectomy with preservation of pectoralis muscles for breast cancer of 136 patients (pts) was presented.The modified operation was performed in 120 pts.This approach is suitable for pts with clinical stages I,Ⅱ and/or Ⅲa of breast cancer.And other 16 pts with pectoralis major as well as pectoralis minor muscle presereved.This approach is suitable for pts with clinical stages Ⅰ and Ⅱ of breast cancer.This managment operation could reach Halsted creteria with regarding to removing supraauxillary lymph nodes.It is considered that the critical point in this operation is the full relaxation of the pectoralis major muscle.They suggest that the related limb be sterlilzed,and then placed in the sterile area,so that its position could be changed to get best relaxation easily.Some methods to protect the breast nerves and operative techniques were also discussed.

关 键 词：乳腺癌 外科手术 保留胸肌 

分 类 号：R737.905[医药卫生—肿瘤]