保留肋间臂神经在乳腺癌腋窝淋巴结清扫术中的应用  

Clinical application of preserving intercostobrachial nerve during axillary lymph node dissection for breast cancer

作　　者：余辉[1] 王欣[1] 谢泽明[1] 王军业[1] 胡袆[1] 李涌[1] 谢绚[1] 张兰军[1] 杨明添[1] 傅剑华[1] 

机构地区：[1]中山大学肿瘤防治中心胸科,华南肿瘤学国家重点试验室,广州510060

出　　处：《中国肿瘤临床与康复》2009年第6期518-519,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨Ⅰ、Ⅱ期乳腺癌改良根治术中保留肋间臂神经的临床价值。方法65例行Ⅰ、Ⅱ期乳腺癌改良根治术,保留肋间臂神经50例,切除15例,术后对患者进行随访观察。结果保留肋间臂神经50例中,术后患者上臂内侧及腋部皮肤感觉正常46例(92.0%),感觉异常4例(8.0%);切断肋间臂神经15例均有感觉障碍,两组比较差异有显著性(χ2=12.42,P<0.001)。随访1年,50例均无肿瘤局部复发。结论在乳腺癌腋窝淋巴结清扫术中,保留肋间臂神经对改善患者术后生活质量具有一定的临床价值。Objective To evaluate the clinical value of preserving intercostobraehial nerve （ICBN） during axillary lymph node dissection for stage-Ⅰ and Ⅱ breast cancer. Methods Axillary lymph node clearance was performed in 65 patients with stage- Ⅰ and Ⅱ breast cancer, ICBN was preserved in 50 cases, dissected in 15 cases. All patients were followed up after operation. Results Of the 50 patients with ICBN preserved, only 4 （8.0%）had paresthesia of the skin of medial side of upper arm and axilla, while all 15 cases with ICBN dissected had paresthesia, with significant difference between the 2 groups of patients （ X2 = 12.42, P 〈 0. 001 ）. There was no local recurrence in any or50 patients with ICBN preserved within the follow-up period. Conclusion Preserving ICBN during axillary dissection of breast cancer improves the life quality of the patients after operation and has certain clinical value.

关 键 词：乳腺肿瘤 肋间臂神经 腋窝淋巴结清扫 

分 类 号：R737.9[医药卫生—肿瘤] R730.56[医药卫生—临床医学]