乳腺癌改良根治术保留肋间臂神经72例临床价值分析  

Clinic value of modified radical mastectomy preserving intercostobrachial nerve

作　　者：吴维敏[1] 余书勇[1] 尹俊峰[1] 周振环[1] 何国平[1] 涂瑞纱[1] 肖宁 

机构地区：[1]海南省海口市解放军187中心医院普外科,海南海口571159 [2]海南省海口市海南军区医院特诊科,海南海口570260

出　　处：《海南医学院学报》2010年第6期739-741,743,共4页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100206)~~

摘　　要：目的:探讨乳腺癌改良根治术中保留肋间臂神经的方法及临床价值。方法:96例乳腺癌患者均行改良根治术,手术中保留肋间臂神经72例,切除肋间臂神经24例,术后对患者上臂内侧感觉功能进行随访观察。结果:保留肋间臂神经72例中术后患侧上臂内侧及腋部皮肤感觉正常66例(91.7%),感觉异常6例(8.3%);而切除肋间臂神经的24例患者均有感觉异常(100%)。结论:保留肋间臂神经的乳腺癌根治术能够有效地防止患侧腋窝及上肢皮肤感觉障碍的发生率,不增加手术并发症的发生率,不影响手术的根治性,有助于提高患者的生活质量。Objective： To discuss the clinic application of modified radical mastectomy preserving intercostobrachialnerve.Methods： Modified radical mastectomy preserving intercostobrachialnerve was carried out to 96 cases with breast cancer,including 72 cases with intercostobrachial nerve preserved and 24 cases without preservation.Sensation function in media arms was observed.Results： Sixty-six out of 72 cases with intercostobrachial nerve preserved had normal sensation in media arms（91.7%）,and 6 cases had abnormal sense（8.3%）,while all 24 cases without preservation had abnormal sensation（100%）.Conclusions： Modified radical mastectomy preserving intercostobrachial nerve can effectively prevent sensation disturbance and decrease the incidence of complication.It has no effect on radical cure of surgery and can improve the qulity of patients＇ life.

关 键 词：乳腺肿瘤 肋间壁神经 改良根治术 

分 类 号：R739.9[医药卫生—肿瘤]